Applicability of contrast-enhanced ultrasound in the diagnosis of plantar fasciitis
Autor: | Jessica Pingel, Rikke Broholm, Finn Elkjær Johannsen, Lene Simonsen, Jens Bülow |
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Rok vydání: | 2017 |
Předmět: |
Adult
medicine.medical_specialty Heel Plantar fasciitis Physical Therapy Sports Therapy and Rehabilitation Asymptomatic Fat pad 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Fascia Ultrasonography Observer Variation 030222 orthopedics business.industry Ultrasound 030229 sport sciences Middle Aged Surgery body regions medicine.anatomical_structure Fasciitis Plantar Plantar fascia medicine.symptom business Nuclear medicine human activities Contrast-enhanced ultrasound |
Zdroj: | Scandinavian journal of medicinescience in sports. 27(12) |
ISSN: | 1600-0838 |
Popis: | Contrast-enhanced ultrasound (CEUS) is used to visualize the microvascularization in various tissues. The purpose of this study was to investigate whether CEUS could be used to visualize the microvascular volume (MV) in the plantar fascia, and to compare the method to clinical symptoms and B-mode ultrasound (US) in patients with plantar fasciitis (PF). Twenty patients with unilateral PF were included and were divided by US in insertional thickening (10), midsubstance thickening (5), and no US changes (5). The MV was measured simultaneously in both heels. Four areas in the plantar fascia and plantar fat pad were measured independently by two observers. Inter- and intra-observer correlation analyses were performed. The asymptomatic heels showed a constantly low MV, and for the whole group of patients, a significantly higher MV was found in the symptomatic plantar fascia and plantar fat pad. Inter-observer correlation as well as intra-observer agreement was excellent. The MV in the plantar fascia and plantar fat pad can be measured reliably using CEUS, suggesting that it is a reproducible method to examine patients with plantar fasciitis. |
Databáze: | OpenAIRE |
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