Clinical utility of sonography in diagnosing plantar fasciitis

Nuran Sabir; Semra Demirlenk; Baki Yagci; Nevzat Karabulut; Sibel Cubukcu

doi:10.7863/jum.2005.24.8.1041

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Clinical utility of sonography in diagnosing plantar fasciitis

Journal article

Open access

Peer reviewed

Clinical utility of sonography in diagnosing plantar fasciitis

Nuran Sabir, Semra Demirlenk, Baki Yagci, Nevzat Karabulut and Sibel Cubukcu

Journal of ultrasound in medicine, Vol.24(8), pp.1041-1048

08/2005

DOI: 10.7863/jum.2005.24.8.1041

PMID: 16040817

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Abstract

The purpose of this study was to investigate the efficacy of sonography in the detection of plantar fasciitis (PF) compared with magnetic resonance imaging (MRI) findings in subjects with inferior heel pain. Seventy-seven patients with unilateral (n = 9) and bilateral (n = 68) heel pain were studied. Seventy-seven age- and sex-matched asymptomatic subjects served as a control group. Magnetic resonance imaging was used to establish a diagnosis of PF with sagittal T1-weighted, T2-weighted, and short tau inversion recovery sequences. The sonographic appearances of PF were compared with MRI findings. Plantar fascia and heel pad thickness were also measured on both imaging modalities. Compared with MRI, sonography showed 80% sensitivity and 88.5% specificity in assessing PF. A strong correlation was found between plantar fascia and fat pad thickness measurements done by sonography (P < .001; r = 0.854) and MRI (P < .001; r = 0.798). Compared with the asymptomatic volunteers, patients with PF had significant increases in plantar fascia and heel pad thicknesses, weight, and body mass index (P = .0001). Heel pad thickness was also significantly increased with pain duration (P = .021). Although MRI is the modality of choice in the morphologic assessment of different plantar fascia lesions, sonography can also serve as an effective tool and may substitute MRI in the diagnosis of PF.

Adult

Aged

Case-Control Studies

Diagnosis, Differential

Fasciitis, Plantar - diagnostic imaging

Female

Humans

Magnetic Resonance Imaging

Male

Middle Aged

Predictive Value of Tests

Sensitivity and Specificity

Ultrasonography

Details

Title: Subtitle: Clinical utility of sonography in diagnosing plantar fasciitis
Creators: Nuran Sabir - Pamukkale University
Semra Demirlenk - Pamukkale University
Baki Yagci
Nevzat Karabulut - Pamukkale University
Sibel Cubukcu - Akdeniz University
Resource Type: Journal article
Publication Details: Journal of ultrasound in medicine, Vol.24(8), pp.1041-1048
DOI: 10.7863/jum.2005.24.8.1041
PMID: 16040817
NLM abbreviation: J Ultrasound Med
ISSN: 0278-4297
eISSN: 1550-9613
Language: English
Date published: 08/2005
Academic Unit: Radiology
Record Identifier: 9984697626802771

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