Plantar fat pad syndrome

Case contributed by Henry Knipe
Diagnosis almost certain


Deep calcaneal pain. Runner.

Patient Data

Age: 30 years
Gender: Female

​Plantar fat pad demonstrates low T1 signal intensity bands with ill-defined high T2 and PD signal. The difference in signal between the plantar fat pad and normal fat pad is best seen on the coronal sequences.

Os trigonum with minor high signal about the synchondrosis. No posterior ankle capsular thickening/edema nor FHL tendon sheath effusion.

The remainder of the study is unremarkable. 

Case Discussion

Plantar fat pad syndrome is a common cause of heel pain. In this case, no alternative cause for heel pain is identified. 

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