Sonographic evaluation of hindfoot disorders

Hoffman, Douglas F.; Grothe, Heather L.; Bianchi, Stefano

doi:10.1007/s40477-014-0089-2

Cited by 12 publications

(21 citation statements)

References 49 publications

(61 reference statements)

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“…In our experience, ultrasound is superior to MRI in differentiating true fibre interruption and tearing from oedema. Confirmation of a complete tear is best achieved by proving widening of the gap between the two ends of PF with dynamic manoeuvres [43]. In cases of complete tear, MRI allows precise estimation of PF retraction with prognostic implications for surgical reparability of the lesion [2].…”

Section: Discussionmentioning

confidence: 99%

“…As stated above, calcaneal spurs are not specific for plantar fasciitis and are often identified in asymptomatic individuals; however, a strong association between spurs and chronic plantar heel pain has been demonstrated, specifically in cases of concurrent fat pad abnormalities [77]. Finally, entrapment of the first branch of the lateral plantar nerve (Baxter’s neuropathy) [43], stress fractures of the calcaneus [78], vascular disease [79] and heel fat pad atrophy and necrosis [2] may present with nonspecific heel pain and represent all differential diagnoses of PF disease.…”

Section: Discussionmentioning

confidence: 99%

“…Radiopaque foreign material, such as metals, may be easily revealed [43]. In the case of infectious fasciitis, plain radiography shows soft-tissue swelling and blurring of soft-tissue planes.…”

Section: Plain Radiographymentioning

confidence: 99%

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Imaging of plantar fascia disorders: findings on plain radiography, ultrasound and magnetic resonance imaging

et al. 2016

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Plantar fascia (PF) disorders commonly cause heel pain and disability in the general population. Imaging is often required to confirm diagnosis. This review article aims to provide simple and systematic guidelines for imaging assessment of PF disease, focussing on key findings detectable on plain radiography, ultrasound and magnetic resonance imaging (MRI). Sonographic characteristics of plantar fasciitis include PF thickening, loss of fibrillar structure, perifascial collections, calcifications and hyperaemia on Doppler imaging. Thickening and signal changes in the PF as well as oedema of adjacent soft tissues and bone marrow can be assessed on MRI. Radiographic findings of plantar fasciitis include PF thickening, cortical irregularities and abnormalities in the fat pad located deep below the PF. Plantar fibromatosis appears as well-demarcated, nodular thickenings that are iso-hypoechoic on ultrasound and show low-signal intensity on MRI. PF tears present with partial or complete fibre interruption on both ultrasound and MRI. Imaging description of further PF disorders, including xanthoma, diabetic fascial disease, foreign-body reactions and plantar infections, is detailed in the main text. Ultrasound and MRI should be considered as first- and second-line modalities for assessment of PF disorders, respectively. Indirect findings of PF disease can be ruled out on plain radiography. Teaching Points • PF disorders commonly cause heel pain and disability in the general population.• Imaging is often required to confirm diagnosis or reveal concomitant injuries.• Ultrasound and MRI respectively represent the first- and second-line modalities for diagnosis.• Indirect findings of PF disease can be ruled out on plain radiography.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Imaging of plantar fascia disorders: findings on plain radiography, ultrasound and magnetic resonance imaging

et al. 2016

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“…US effectively can assess the central component of the PA [7]. The patient lies prone with the foot hanging off of the examination table.…”

Section: Imagingmentioning

confidence: 99%

Visualization of the Plantar Aponeurosis

Kani

Porrino

Taljanovic

et al. 2016

PM&R

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“…Neovascularity will occur in the chronic lesion. Using MR examination, bone oedema will be seen deep into the plantar fascia insertion when the disease is active (Hoffman and Bianchi 2013 ;Hoffman et al 2014 ) (Fig. 38.12 ).…”

Section: Plantar Fasciamentioning

confidence: 99%

Radiological Imaging of Foot Injuries

Wilson

2015

Nuclear Medicine and Radiologic Imaging in Sports Injuries

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Injuries of the foot are less common than those to the ankle. Stress or insufficiency fractures are a particular feature and are best excluded using MR with water-sensitive fat-suppressed sequences. Foot deformity may lead to metatarsalgia and Morton's neuroma. These lesions will be detected and can be partially treated using ultrasound. Both ultrasound examination and MR have a role in detecting ligament, tendon, plantar fascia and plantar plate injuries.

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Sonographic evaluation of hindfoot disorders

Cited by 12 publications

References 49 publications

Imaging of plantar fascia disorders: findings on plain radiography, ultrasound and magnetic resonance imaging

Imaging of plantar fascia disorders: findings on plain radiography, ultrasound and magnetic resonance imaging

Visualization of the Plantar Aponeurosis

Radiological Imaging of Foot Injuries

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