“…Sari et al proposed a new parameter, the coronal length of plantar fascia originating from the calcaneus on MRI of plantar fasciitis, but did not evaluate it under pathological conditions. 20 Therefore, this new parameter was included in this study to evaluate the patients with plantar fasciitis (Figure 1). However, this parameter has no statistical significance in the comparison of the three age cohorts ( p < 0.05), and has no great reference value in this study.Figure 2.From a 40-year-old female patient with left foot of plantar fasciitis: (a): Showing the thickening of the plantar fascia and slight hyperintensity near the calcaneal origin (white arrow).…”
Background Due to the lack of further studies on the influence of age factors on plantar fasciitis, this study evaluates the characteristic observation points of magnetic resonance imaging in various age cohorts of patients with plantar fasciitis to help diagnosis. Methods A retrospective analysis of 160 cases of plantar fasciitis patients and normal subjects (who have the disease unrelated to plantar fasciitis) who have undergone an MRI examination in our institution. The two groups were separately divided into young adult subjects (36 to 44 years old), middle age adult subjects (45 to 59 years old), and older adult subjects (60 to 79 years old). Data was gathered regarding plantar fascia thickness, the coronal length of the plantar fascia at the calcaneal origin, the signal intensity of plantar fascia and surrounding structures, and the presence or absence of plantar calcaneal spurs, all of which were assessed objectively by the investigators. Results There were statistical differences in the thickness of plantar fascia between two groups of three age cohorts (Older adult patients: 0.59 ± 0.09 cm; Middle age adult patients: 0.49 ± 0.09 cm; Young adult patients: 0.47 ± 0.05 cm) (all p < 0.001). In addition, there were also statistical differences in the high signal intensity changes of the plantar fascia and surrounding soft tissues between two groups of three age cohorts (all p < 0.001). In older adult plantar fasciitis patients, with regard to plantar calcaneal spur discovery, there was a statistical difference between the two groups (Chi-square = 12.799. df = 1. p < 0.001). Conclusion In plantar fasciitis cases where a diagnosis is difficult, abnormalities in the soft tissue surrounding the plantar fascia in patients of low age are noteworthy. In older adult patients, the discovery of plantar calcaneal spurs with abnormal thickening of plantar fascia deserves attention, and abnormal MRI findings are more manifest. But the final diagnosis should be based on the medical history. Level of Evidence Level 3.
“…Sari et al proposed a new parameter, the coronal length of plantar fascia originating from the calcaneus on MRI of plantar fasciitis, but did not evaluate it under pathological conditions. 20 Therefore, this new parameter was included in this study to evaluate the patients with plantar fasciitis (Figure 1). However, this parameter has no statistical significance in the comparison of the three age cohorts ( p < 0.05), and has no great reference value in this study.Figure 2.From a 40-year-old female patient with left foot of plantar fasciitis: (a): Showing the thickening of the plantar fascia and slight hyperintensity near the calcaneal origin (white arrow).…”
Background Due to the lack of further studies on the influence of age factors on plantar fasciitis, this study evaluates the characteristic observation points of magnetic resonance imaging in various age cohorts of patients with plantar fasciitis to help diagnosis. Methods A retrospective analysis of 160 cases of plantar fasciitis patients and normal subjects (who have the disease unrelated to plantar fasciitis) who have undergone an MRI examination in our institution. The two groups were separately divided into young adult subjects (36 to 44 years old), middle age adult subjects (45 to 59 years old), and older adult subjects (60 to 79 years old). Data was gathered regarding plantar fascia thickness, the coronal length of the plantar fascia at the calcaneal origin, the signal intensity of plantar fascia and surrounding structures, and the presence or absence of plantar calcaneal spurs, all of which were assessed objectively by the investigators. Results There were statistical differences in the thickness of plantar fascia between two groups of three age cohorts (Older adult patients: 0.59 ± 0.09 cm; Middle age adult patients: 0.49 ± 0.09 cm; Young adult patients: 0.47 ± 0.05 cm) (all p < 0.001). In addition, there were also statistical differences in the high signal intensity changes of the plantar fascia and surrounding soft tissues between two groups of three age cohorts (all p < 0.001). In older adult plantar fasciitis patients, with regard to plantar calcaneal spur discovery, there was a statistical difference between the two groups (Chi-square = 12.799. df = 1. p < 0.001). Conclusion In plantar fasciitis cases where a diagnosis is difficult, abnormalities in the soft tissue surrounding the plantar fascia in patients of low age are noteworthy. In older adult patients, the discovery of plantar calcaneal spurs with abnormal thickening of plantar fascia deserves attention, and abnormal MRI findings are more manifest. But the final diagnosis should be based on the medical history. Level of Evidence Level 3.
“…Plantar fascia or plantar aponeurosis starts from the medial tubercle at the calcaneus and ends by attaching to the plantar part of the metatarsophalangeal joint (7)(8)(9). Studies conducted have shown that plantar fascia statically and dynamically supports the longitudinal arch of the foot and that plantar fascia resists to shocks the foot is exposed to (10).…”
Aim: There is essential coordination between foot muscle strength, Achilles tendon, and plantar fascia. This study aims to show the mathematical relationship between foot muscle strength and plantar fascia thickness and Achilles tendon thickness. Material and Method: The study was conducted with 57 volunteering individuals (30 males, 27 females) between the ages of 18 and 40. Plantar fascia thickness and Achilles tendon thickness were measured with the ultrasound. Foot muscle strength was measured with a digital hand dynamometer. The data obtained were statistically evaluated. Results: A positive, moderately strong correlation was found in men between left side Achilles tendon thickness and plantar fascia thickness (p<0.05). A positive, reasonably strong relationship was found in women between left foot muscle strength average and plantar fascia thickness (p<0.05). However, in all groups, the right foot muscle strength average had a positive, moderately strong correlation with Achilles tendon thickness and plantar fascia thickness (p<0.05). In all groups, it was found that the right-side Achilles tendon thickness had a positive, moderately strong correlation with plantar fascia thickness (p<0.05). On the other hand, when the genders were compared, a statistically significant difference was found between right foot muscle strength and plantar fascia thickness and Achilles tendon thickness (p<0.05).Conclusion: We believe that the fact that there are different results between men and women and even on the right and left sides of the same gender will be useful, especially in terms of clinic physicians’ approaches towards diagnosis and treatment.
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