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J Clin Med. 2021 May 27;10(11). doi: 10.3390/jcm10112351.

Shear Wave Elastography of the Plantar Fascia: Comparison between Patients with Plantar Fasciitis and Healthy Control Subjects.

Journal of clinical medicine

Daniel Baur, Christoph Schwabl, Christian Kremser, Mihra S Taljanovic, Gerlig Widmann, Luca Maria Sconfienza, Judith Sztankay, Gudrun Feuchtner, Andrea S Klauser

Affiliations

  1. Radiology Department, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.
  2. Banner University Medical Center, Department of Medical Imaging, College of Medicine, The University of Arizona, Tucson, AZ 85724, USA.
  3. Unit of Diagnostic and Interventional Radiology, I.R.C.C.S. Istituto Ortopedico Galeazzi, 20097 Milano, Italy.
  4. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, 20133 Milano, Italy.
  5. Department of Radiotherapy, Medical University of Innsbruck, 6020 Innsbruck, Austria.

PMID: 34072045 PMCID: PMC8199455 DOI: 10.3390/jcm10112351

Abstract

BACKGROUND: The purpose of this study was to evaluate plantar fasciae of healthy subjects and patients with plantar fasciitis by shear wave velocity (SWV) and stiffness with correlation to B-Mode and color Doppler ultrasonography (CDUS) and to establish cut-off values.

METHODS: This observational study was conducted with the approval of the Institutional Review Boards (IRBs) of our institution. 108 unilateral plantar fasciae were evaluated by including 87 consecutive patients (mean age 51.7; range: 29-82) (66 women and 21 men) with plantar fasciitis and 21 asymptomatic age matched healthy volunteers (mean age 47.3; range: 32-58) (15 women and 6 men). All patients were prospectively imaged between July 2018 and March 2019. B-mode US was used to measure thickness and CDUS to grade vascularity. SWE measurements were repeated 3 times and mean was used for statistical analysis.

RESULTS: Mean SWV value in healthy subjects was 6.94 m/s and in patients 4.98 m/s with a mean stiffness value of 152.88 kPa and 93.54 kPa respectively (

CONCLUSION: SWE allows quantitative assessment of plantar fascia stiffness, which decreases in patients with plantar fasciitis. No correlation to the thickness of the plantar fascia was found, therefore it represents an independent factor for the diagnosis of plantar fasciitis and could be helpful in addition to thickness measurement in unclear cases.

Keywords: color doppler ultrasonography; elastography; plantar fascia; plantar fasciitis; shear wave

References

  1. J Am Podiatr Med Assoc. 2008 Jul-Aug;98(4):283-9 - PubMed
  2. Clin Biomech (Bristol, Avon). 1999 Aug;14(7):471-6 - PubMed
  3. J Bone Joint Surg Am. 1964 Apr;46:482-92 - PubMed
  4. Acad Radiol. 2020 Mar;27(3):363-370 - PubMed
  5. J Foot Ankle Surg. 2010 May-Jun;49(3 Suppl):S1-19 - PubMed
  6. J Pain Res. 2018 Apr 27;11:875-880 - PubMed
  7. J Orthop Sports Phys Ther. 2013 Dec;43(12):875-80 - PubMed
  8. Radiographics. 2017 May-Jun;37(3):855-870 - PubMed
  9. Sports Med. 2006;36(7):585-611 - PubMed
  10. Ultrasonography. 2016 Apr;35(2):104-9 - PubMed
  11. J Sci Med Sport. 2006 May;9(1-2):11-22; discussion 23-4 - PubMed
  12. Medicine (Baltimore). 2016 Nov;95(45):e5243 - PubMed
  13. Foot Ankle Int. 2019 Apr;40(4):439-446 - PubMed
  14. Arthritis Res. 2002;4(4):252-60 - PubMed
  15. Clin Radiol. 2009 Dec;64(12):1196-202 - PubMed
  16. J Foot Ankle Surg. 1997 Nov-Dec;36(6):435-45 - PubMed
  17. J Orthop Res. 1994 Nov;12(6):796-803 - PubMed
  18. Skeletal Radiol. 2015 Nov;44(11):1603-7 - PubMed
  19. Radiology. 2014 Sep;272(3):622-33 - PubMed
  20. Clin Hemorheol Microcirc. 2017;67(3-4):415-423 - PubMed
  21. IEEE Trans Ultrason Ferroelectr Freq Control. 2002 Apr;49(4):436-46 - PubMed
  22. Radiology. 2011 May;259(2):502-7 - PubMed
  23. AJR Am J Roentgenol. 2009 Aug;193(2):W134-8 - PubMed
  24. Sports Med Arthrosc Rev. 2009 Jun;17(2):100-4 - PubMed
  25. Clin Biomech (Bristol, Avon). 2019 Jan;61:11-15 - PubMed
  26. Ultrasonography. 2019 Jan;38(1):2-12 - PubMed
  27. AJR Am J Roentgenol. 2009 Jul;193(1):180-5 - PubMed
  28. Radiology. 2013 Apr;267(1):195-200 - PubMed
  29. Ultrasound Q. 2007 Dec;23(4):255-68 - PubMed
  30. Radiographics. 2003 Nov-Dec;23(6):1657-71 - PubMed

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