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Sonographic evaluation of hindfoot disorders

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Abstract

Foot pain is a common orthopedic condition that can have an impact on health-related quality of life. The evaluation of plantar hindfoot pain begins with history and physical examination. Imaging modalities, standard radiographs, sonography, MR, CT are often utilized to clarify the diagnosis. The article is a detailed description of the sonographic evaluation of the plantar fascia and its disorders as well as the common etiologies in the differential diagnosis of plantar fasciopathy.

Riassunto

Il dolore al piede è una condizione ortopedica comune, che può avere un impatto sulla qualità della vita legata alla salute. La valutazione del dolore del retro-piede inizia con l’anamnesi e con l’esame fisico. Le varie modalità di imaging, radiografie standard, ecografia, risonanza magnetica, TC, sono spesso utilizzate per chiarire la diagnosi. L’articolo è una descrizione dettagliata della valutazione ecografica della fascia plantare e dei suoi disturbi, nonché delle patologie che più frequentemente entrano nella diagnosi differenziale con le malattie della fascia plantare.

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References

  1. Hill CL, Gill TK, Menz HB, Taylor AW et al (2008) Prevalence and correlates of foot pain in a population-based study: the North West Adelaide Health Study. J Foot Ankle Res 1:1

    Article  Google Scholar 

  2. Hannan MT, McLennan CE, Rivinus MC et al (2006) Population-based study of foot disorders in men and women from the Framingham Study (abstract). Arthritis Rheum 54(suppl):S497

    Google Scholar 

  3. Thomas MJ, Roddy E, Zhang W et al (2011) The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain 152:2870

    Article  Google Scholar 

  4. Riddle DL, Schappert SM (2004) Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int 25:303

    Article  Google Scholar 

  5. Hoffman D, Bianchi S (2013) Sonographic evaluation of plantar hindfoot and midfoot pain. J Ultrasound Med 32:1271

    Article  Google Scholar 

  6. Stecco C, Corradin M, Macchi V et al (2013) Plantar fascia anatomy and its relationship with Achilles tendon and paratenon. J Anat 223(6):665–676. doi: 10.111/joa.12111

    Article  Google Scholar 

  7. Moraes MR, Cavalcante ML, Leite JA et al (2008) Histomorphometric evaluation of mechanoreceptors and free nerve endings in human lateral ankle ligaments. Foot Ankle Int 29(1):87–90. doi:http://doi.org/10.3113/FAI.2008.0087

    Article  Google Scholar 

  8. Sarrafian SK, Kelikian AS (2011) Retaining systems and compartments. In: Kelikian AS (ed) Sarrafian’s anatomy of the foot and ankle. Lippincott Williams and Wilkins, Philadelphia, p p154

    Google Scholar 

  9. Moraes do Carmo CC, Fonseca de Almeida Melão LI, Valle de Lemos Weber MF et al (2008) Anatomical features of plantar aponeurosis: cadaveric study using ultrasonography and magnetic resonance imaging. Skeletal Radiol 37(10):929–935. doi:http://doi.org/10.1007/s00256-008-0497-5

    Article  Google Scholar 

  10. Bianchi S, Martinoli C Foot (2007) In: Bianchi S, Martinoli C (eds). Ultrasound of the musculoskeletal system. Springer, Berlin, p 835

  11. Karabay N, Toros T, Hurel C (2007) Ultrasonographic evaluation in plantar fasciitis. J Foot Ankle Surg 46(6):442–446

    Article  Google Scholar 

  12. Ieong E, Afolayan J, Carne A et al (2013) Ultrasound scanning for recalcitrant plantar fasciopathy. Basis of a new classification. Skeletal Radiol 42(3):393–398. doi:http://doi.org/10.1007/s00256-012-1470-x

    Article  Google Scholar 

  13. Snider MP, Clancy WG, McBeath AA (1983) Plantar fascia release for chronic plantar fasciitis in runners. Am J Sports Med 11(4):215–219. doi:http://doi.org/10.1177/036354658301100406

    Article  CAS  Google Scholar 

  14. Lemont H, Ammirati KM, Usen N (2003) Plantar fasciitis: a degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc 93(3):234–237

    Article  Google Scholar 

  15. van Holsbeck M, Introcaso JH (1992) Musculoskeletal ultrasonography. Radiol Clin North Am 30(5):907–925

    Google Scholar 

  16. Gibbon WW, Long G (1999) Ultrasound of the plantar aponeurosis (fascia). Skeletal Radiol 28(1):21–26

    Article  CAS  Google Scholar 

  17. Sabir N, Demirlenk S, Yagci B et al (2005) Clinical utility of sonography in diagnosing plantar fasciitis. J Ultrasound Med 24(8):1041–1048

    Article  Google Scholar 

  18. Wall JR, Harkness MA, Crawford A (1993) Ultrasound diagnosis of plantar fasciitis. Foot Ankle 14(8):465–470

    Article  CAS  Google Scholar 

  19. Walther M, Radke S, Kirschner S et al (2004) Power Doppler findings in plantar fasciitis. Ultrasound Med Biol 30(4):435–440

    Article  Google Scholar 

  20. Kane D, Greaney T, Bresnihan B et al (1998) Ultrasound guided injection of recalcitrant plantar fasciitis. Ann Rheum Dis 57(6):383–384

    Article  CAS  Google Scholar 

  21. Tsai WC, Wang CL, Tang FT et al (2000) Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. Arch Phys Med Rehabil 81(10):1416–1421

    Article  CAS  Google Scholar 

  22. Tsai WC, Hsu CC, Chen CP et al (2006) Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance. J Clin Ultrasound 34(1):12–16

    Article  Google Scholar 

  23. Hyer CF, Vancourt R, Block A (2005) Evaluation of ultrasound-guided extracorporeal shock wave therapy (ESWT) in the treatment of chronic plantar fasciitis. J Foot Ankle Surg 44(2):137–143

    Article  Google Scholar 

  24. Folman Y, Bartal G, Breitgand A et al (2005) Treatment of recalcitrant plantar fasciitis by sonographically-guided needle fasciotomy. Foot Ankle Surg 11:211

    Article  Google Scholar 

  25. Fessell DP, Jacobson JA (2008) Ultrasound of the hindfoot and midfoot. Radiol Clin North Am 46(6):1027–1043. doi:http://doi.org/10.1016/j.rcl.2008.08.006

    Article  Google Scholar 

  26. Leach R, Jones R, Silva T (1978) Rupture of the plantar fascia in athletes. J Bone Joint Surg Am 60(4):537–539

    Article  CAS  Google Scholar 

  27. Jl Acevedo, Beskin JL (1998) Complications of plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int 19(2):91–97

    Article  Google Scholar 

  28. Louwers MJ, Sabb B, Pangilinan PH (2010) Ultrasound evaluation of a spontaneous plantar fascia rupture. Am J Phys Med Rehabil 89(11):941–944. doi:http://doi.org/10.1097/PHM.0b013e3181f711e2

    Article  Google Scholar 

  29. Yu JS (2000) Pathologic and post-operative conditions of the plantar fascia: review of MR imaging appearances. Skeletal Radiol 29(9):491–501

    Article  CAS  Google Scholar 

  30. Rondhuis JJ, Huson A (1986) The first branch of the lateral plantar nerve and heel pain. Acta Morphol Neerl Scand 24(4):269–279

    CAS  PubMed  Google Scholar 

  31. del Sol M, Olave E, Gabrielli C et al (2002) Innervation of the abductor digiti minimi muscle of the human foot: anatomical basis of the entrapment of the abductor digiti minimi nerve. Surg Radiol Anat 24(1):18–22

    Article  Google Scholar 

  32. Kenzora JE (1987) The painful heel syndrome: an entrapment neuropathy. Bull Hosp Jt Dis Orthop Inst 47(2):178–189

    CAS  PubMed  Google Scholar 

  33. Baxter DE, Thigpen CM (1984) Heel pain–operative results. Foot Ankle 5(1):16–25

    Article  CAS  Google Scholar 

  34. Louisia S, Masquelet AC (1999) The medial and inferior calcaneal nerves: an anatomic study. Surg Radilo Anat 21(3):169–173

    Article  CAS  Google Scholar 

  35. Presley JC, Maida E, Pawlina W et al (2013) Sonographic visualization of the first branch of the lateral plantar nerve (baxter nerve): technique and validation using perineural injections in a cadaveric model. J Ultrasound Med 32(9):1643–1652. doi:http://doi.org/10.7863/ultra.32.9.1643

    Article  Google Scholar 

  36. Baxter DE, Pfeffer GB, Thigpen M (1989) Chronic heel pain. Treatment rationale. Orthop Clin North Am 20(4):563–569

    CAS  PubMed  Google Scholar 

  37. Alshami AM, Souvlis T, Coppieters MW (2008) A review of plantar heel pain of neural origin: differential diagnosis and management. Man Ther 13(2):103–111

    Article  Google Scholar 

  38. Chundru U, Liebeskind A, Seidelmann F et al (2008) Plantar fasciitis and calcaneal spur formation are associated with abductor digiti minimi atrophy on MRI of the foot. Skeletal Radiol 37(6):505–510. doi:http://doi.org/10.1007/s00256-008-0455-2

    Article  Google Scholar 

  39. Farooki S, Theodorou DJ, Sokoloff RM et al (2001) MRI of the medial and lateral plantar nerves. J Comput Assist Tomogr 25(3):412–416

    Article  CAS  Google Scholar 

  40. Recht MP, Grooff P, Ilaslan H et al (2007) Selective atrophy of the abductor digiti quinti: an MRI study. AJR Am J Roentgenol 189(3):W123–W127

    Article  Google Scholar 

  41. Murphey MD, Ruble CM, Tyszko SM et al (2009) From the archives of the AFIP: musculoskeletal fibromatoses: radiologic-pathologic correlation. Radiographics 29(7):2143–2173. doi:http://doi.org/10.1148/rg.297095138

    Article  Google Scholar 

  42. Wortsman X (2012) Common applications of dermatologic sonography. J Ultrasound Med 31(1):97–111

    Article  Google Scholar 

  43. McNally EG, Shetty S (2010) Plantar fascia: imaging diagnosis and guided treatment. Semin Musculoskelet Radiol 14(3):334–343. doi:http://doi.org/10.1055/s0030.1254522

    Article  Google Scholar 

  44. Valle M, Zamorani M (2007) Skin and subcutaneous tissue. In: Bianchi S, Martinoli C (eds) Ultrasound of the musculoskeletal system. Springer, Berlin, p 19

    Chapter  Google Scholar 

  45. Griffith JF, Wong TY, Wong SM et al (2002) Sonography of plantar fibromatosis. AJR Am J Roentgenol 179(5):1167–1172

    Article  Google Scholar 

  46. Berger FH, de Jonge MC, Maas M (2007) Stress fractures in the lower extremity. The importance of increasing awareness amongst radiologists. Eur J Radiol 62(1):16–26

    Article  Google Scholar 

  47. Garcia-Patos V (2007) Rheumatoid nodule. Semin Cutan Med Surg 26(2):100–107

    Article  CAS  Google Scholar 

  48. Jones RO, Chen JB, Pitcher D et al (1996) Rheumatoid nodules affecting both heels with surgical debulking: a case report. J Am Podiatr Med Assoc 86(4):179–182

    Article  CAS  Google Scholar 

  49. Sanders TG, Linares R, Su A (1998) Rheumatoid nodule of the foot: MRI appearances mimicking an indeterminate soft tissue mass. Skeletal Radiol 27(8):457–460

    Article  CAS  Google Scholar 

  50. Nalbant S, Corominas H, Hsu B et al (2003) Ultrasonography for assessment of subcutaneous nodules. J Rheumatol 30(6):1191–1195

    PubMed  Google Scholar 

  51. Jin W, Kim GY, Park SY et al (2009) The spectrum of vascularized superficial soft-tissue tumors on sonography with a histopathologic correlation: part 2, malignant tumors and their look-alikes. AJR Am J Roentgenol 195(2):446–453. doi:http://doi.org/10.2214/AJR.09.3846

    Article  Google Scholar 

  52. Diniz Mdos S, Almeida LM, Machado-Pinto J et al (2011) Rheumatoid nodules: evaluation of the therapeutic response to intralesional fluorouracil and triamcinolone. An Bras Dermatol 86(6):1236–1238

    Article  Google Scholar 

  53. Sarrafian SK, Kelikian AS (2011) Angiology. In: Kelikian AS (ed) Sarrafian’s anatomy of the foot and ankle, 3rd edn. Lippincott Williams and Wilkins, Philadelphia, pp 302–380

    Google Scholar 

  54. Siegal DS, Wu JS, Brennan DD et al (2008) Plantar vein thrombosis: a rare cause of plantar foot pain. Skeletal Radiol 37(3):267–269

    Article  Google Scholar 

  55. Bernathova M, Bein E, Bendix N et al (2005) Sonographic diagnosis of plantar vein thrombosis: report of 3 cases. J Ultrasound Med 24(1):101–103

    Article  Google Scholar 

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Acknowledgments

The authors would like to acknowledge and thank Jay Smith, M.D. and the Mayo Clinic Procedural Skills Laboratory for access to the cadaveric specimens and photography of the plantar foot dissections.

Conflict of interest

Douglas F. Hoffman, Heather L. Grothe, Stefano Bianchi declare that they have no conflict of interest related to this paper.

Human and animal studies

The study described in this article does not include any procedures involving humans or animals.

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Authors and Affiliations

  1. Department of Orthopedics and Radiology, Essentia Health, 400 E. Third St, Duluth, MN, 55804, USA

    Douglas F. Hoffman

  2. Department of Family Medicine, St. Johns Family Medicine, University of Minnesota, Minneapolis, MN, USA

    Heather L. Grothe

  3. CIM SA, Cabinet Imagerie Médicale, 40a Route de Malagnou 1208, Geneva, Switzerland

    Stefano Bianchi

Authors
  1. Douglas F. Hoffman
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  2. Heather L. Grothe
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  3. Stefano Bianchi
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Corresponding author

Correspondence to Douglas F. Hoffman.

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Hoffman, D.F., Grothe, H.L. & Bianchi, S. Sonographic evaluation of hindfoot disorders. J Ultrasound 17, 141–150 (2014). https://doi.org/10.1007/s40477-014-0089-2

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  • DOI: https://doi.org/10.1007/s40477-014-0089-2

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