1. Sonographic evaluation of plantar fasciitis and relation to body mass index
- Author
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Lokman Karakurt, Erhan Yilmaz, Erkin Ogur, A. Kursad Poyraz, Ayse Murat, and Huseyin Ozdemir
- Subjects
Adult ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,Heel ,Adolescent ,Plantar fasciitis ,Statistics, Nonparametric ,Body Mass Index ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Aponeurosis ,Fasciitis ,Aged ,Ultrasonography ,business.industry ,Ultrasound ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,body regions ,medicine.anatomical_structure ,Fasciitis, Plantar ,Case-Control Studies ,Female ,Plantar fascia ,Calcaneus ,medicine.symptom ,business ,human activities ,Calcaneal spur - Abstract
Purpose: We have investigated the role of sonography in the diagnosis of plantar fasciitis. Materials and methods: This study evaluates 39 patients with plantar fasciitis and control group of 22 healthy volunteers. The plantar fascia thickness was measured 5mm distal to the insertion of the calcaneus of plantar aponeurosis. Qualitative parameters such as decreased echogenity, biconvexity, perifascial fluid and calcification of plantar fascia were also noted. Results: Mean plantar fascia thickness was measured 2.9mm in patients with unilateral heel pain, 2.2mm for contralateral normal heel and 2.5mm for control group. There was a statistically significant difference between heel with plantar fasciitis, contralateral normal heel and control groups ( p =0.009 and 0.0001, respectively). Mean body mass index was 28kg/m 2 in patients with heel pain and 25kg/m 2 in control group. Body mass index measurements were significantly different between plantar fasciitis and control groups. We found reduced plantar fascia echogenity in 16 cases (41%), calcaneal spur in 20 cases (51%), biconvex appearance in two cases (5.1%) and perifascial fluid in one case (2.5%). Conclusion: We conclude that in patients with plantar fasciitis, ultrasound may detect relatively small differences in plantar fascia thickness even in clinically unequivocal plantar fasciitis.
- Published
- 2005
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