Fact-sheet: Plantar fasciitis
  • Plantar fasciitis


Updated on 12/30/2021 at 11:08 AM

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Definition

Microtraumatic or degenerative involvement of the superficial plantar fascia.
Lesions predominate in the central portion of the fascia, at its proximal enthesis on the calcaneus.
Favored by overuse in athletes, excess body weight, or hindfoot static disorders.

Clinical features

Mechanical heel pain.
Risk of partial or complete tear.

Radiography

Normal.
Occasionally calcaneal spur.

Ultrasound

Comparison with the contralateral side +++
Hypoechoic thickening of the enthesis of the superficial plantar fascia.
Occasionally Doppler hyperemia.
Anechoic areas within the fascia reflecting zones of partial tearing.

MRI

Thickening of the fascial enthesis, with +/- marked T2 hyperintensity.
Edema of the adjacent soft tissues.