Ultrasound examination for a heel scar: seeing/treating the painful superficial fascia

Pirri, Carmelo; Stecco, Carla; Pirri, Nina; De, Raffaele; Özçakar, Levent

doi:10.11152/mu-3689

Cited by 3 publications

(2 citation statements)

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“…With US, it is possible to reveal the thickening of a fascial layer and the changing of its echogenicity and then to analyze its relationships with the other anatomical structures [ 11 ]. In some studies [ 12 , 13 ], an increase of the US superficial fascia thickness is also related to myofascial pain.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound Imaging of the Superficial Fascia in the Upper Limb: Arm and Forearm

Pirri

Guidolin

et al. 2022

Diagnostics

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The superficial fascia has received much attention in recent years due to its important role of compartmentalizing the subcutaneous tissue. Ultrasound (US) imaging, owing to its high definition, provides the possibility of better visualizing and measuring its thickness. The aim of this study was to measure and compare, with US imaging, the thickness of superficial fascia in the arm and forearm in different regions/levels. An observational study has been performed using US imaging to measure superficial fascia thickness in the anterior and posterior regions at different levels in a sample of 30 healthy volunteers. The results for superficial fascia thickness revealed statistically significant differences (p < 0.0001) in the arm between the anterior and posterior regions; in terms of forearm, some statistically significant differences were found between regions/levels. However, in the posterior region/levels of the arm, the superficial fascia was thicker (0.53 ± 0.10 mm) than in the forearm (0.41 ± 0.10 mm); regarding the anterior regions/levels, the superficial fascia of the arm (0.40 ± 0.10 mm) was not statistically different than the forearm (0.40 ± 0.12 mm). In addition, the intra-rater reliability was good (ICC2,k: 0.88). US helps to visualize and assess the superficial fascia inside the subcutaneous tissue, improving the diagnosis of fascial dysfunction, and one of the Us parameters to reliably assess is the thickness in different regions and levels.

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Section: Introductionmentioning

confidence: 99%

Ultrasound Imaging of the Superficial Fascia in the Upper Limb: Arm and Forearm

Pirri

Guidolin

et al. 2022

Diagnostics

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“…Patients often prefer more physician-led interventions to self-administered management approaches [ 19 – 21 ]. Moreover, the rest and immobilization strategies central to the PRICE principle can result in a temporary loss of joint function, with the immobilization causing adhesions in the joint’s synovial folds and superficial fascial layers [ 22 ]. Research indicates that the muscles, ligaments, and joint capsules surrounding the ankle all belong to the superficial fascial system, where adhesions typically develop [ 23 – 25 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative Efficacy of Micro-Needle-Knife Therapy and Acupuncture in Acute Ankle Sprains: A Randomized Controlled Trial

Lu,

Lang,

Liu

et al. 2024

Med Sci Monit

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Background Micro-needle knife (MNK) therapy releases the superficial fascia to alleviate pain and improve joint function in patients with acute ankle sprains (AAS). We aimed to evaluate the efficacy and safety of MNK therapy vs that of acupuncture. Material/Methods This blinded assessor, randomized controlled trial allocated 80 patients with AAS to 2 parallel groups in a 1: 1 ratio. The experimental group received MNK therapy; the control group underwent conventional acupuncture treatment at specified acupoints. Clinical efficacy differences between the 2 groups before (time-point 1 [TP1]) and after treatment (TP2) were evaluated using the visual analogue scale (VAS) and Kofoed ankle score. Safety records and evaluations of adverse events were documented. One-month follow-up after treatment (TP3) was conducted to assess the intervention scheme’s reliability. Results VAS and Kofoed ankle scores significantly improved in both groups. No patients dropped due to adverse events. At TP1, there were no significant differences between the 2 groups in terms of VAS and Kofoed scores ( P >0.05). However, at TP2, efficacy of MNK therapy in releasing the superficial fascia was significantly superior to that of acupuncture treatment ( P <0.001). At TP3, no significant differences in scores existed between the groups ( P >0.05). Conclusions This study demonstrates that 6 sessions of MNK therapy to release the superficial fascia safely and effectively alleviated pain and enhanced ankle joint function in patients with AAS, surpassing the efficacy of conventional acupuncture treatment. Future studies should increase the sample size and introduce additional control groups to further validate the superior clinical efficacy of this intervention.

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Application of Cross-Groin Flap for Coverage of Large Skin and Soft Tissue Defects of the Foot and Ankle in Children

Hu,

Zhang,

et al. 2024

Journal of Craniofacial Surgery

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In children with large soft tissue defects of the foot and ankle, it is difficult to cover the wound completely using a local skin flap, and skin grafting of the donor area for repair causes secondary damage. Free skin flaps require good vascular anastomoses and are prone to vascular crises. The authors evaluated the effectiveness and safety of cross-inguinal flaps for the repair of large soft tissue defects of the foot and ankle in children. The records of 15 children who underwent cross-groin flap transplantation between June 2017 and June 2021 were analyzed retrospectively. All the flaps survived without infection, necrosis, or other complications. The flap shape was good, the donor area was sutured directly, and the damage was minimal. This surgical method is simple, effective, and safe and can replace microsurgery, making it suitable for use in primary-level hospitals that are not equipped for microscopic surgery.

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Ultrasound examination for a heel scar: seeing/treating the painful superficial fascia

Abstract: .

Cited by 3 publications

References 1 publication

Ultrasound Imaging of the Superficial Fascia in the Upper Limb: Arm and Forearm

Ultrasound Imaging of the Superficial Fascia in the Upper Limb: Arm and Forearm

Comparative Efficacy of Micro-Needle-Knife Therapy and Acupuncture in Acute Ankle Sprains: A Randomized Controlled Trial

Application of Cross-Groin Flap for Coverage of Large Skin and Soft Tissue Defects of the Foot and Ankle in Children

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