Wearing High Heel and Planter Fasciitis: MRI Evaluation

Sameh Ahmad Khodair; Rasha Loutfy Younes

doi:doi:10.11648/j.ijmi.20200801.11

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Wearing High Heel and Planter Fasciitis: MRI Evaluation

Sameh Ahmad Khodair, Rasha Loutfy Younes

Published in International Journal of Medical Imaging (Volume 8, Issue 1)

Received: 13 December 2019 Accepted: 30 December 2019 Published: 7 January 2020

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Abstract

Purpose: To determine the type and frequency of characteristic MRI changes of the plantaris fascia in patients with painful heel and wear high heel shoes. Materials and Methods: 40 patients with painful heel, wearing high heels, their age raged from 25-50 years, underwent MR imaging. A control group included 20 subjects with no history of painful heel & not using high heels were included. Associations between the presence of palnter fasciitis, high heel, and body mass index, height of the heel, MRI imaging, self-reported co-morbidities and current heel pain were then explored. MR images were obtained with a 1.5-T superconducting MR imager with a 5-inch (13-cm) standard small flexible surface coil. Results: Thirty cases (75%) of the clinically suspected of plantar fasciitis was established by MR imaging. The most common finding was a peritendinous edema at the calcaneal insertion site which was found in all 30 patients. In 16 patients (53%), an intratendinous signal intensity increase of the plantar fascia could be observed. Compared to the control group (mean thickness 3.3 mm) the plantar fascia showed significant thickening in the thirty MR positive patients (mean thickness 7.7 mm). Conclusion: Planter fasciitis is common in high heel using women. Besides thickening of the plantar fascia, intratendinous signal intensity increase and peritendinous edema close to the plantar fascia are characteristic signs of plantar fasciitis on MRI. Both signs can reliably be seen on STIR sequences only.

Published in	International Journal of Medical Imaging (Volume 8, Issue 1)
DOI	10.11648/j.ijmi.20200801.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

MRI, Plantaris Fascia, High Heel Shoes, Painful Heel

References

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[2]	Yu J.: Biomechanical simulation of high-heeled shoe donning and walking. Journal of Biomechanics. 2013, 46 (12): 2067-2074.
[3]	Sullivan J, Pappas E, Burns J.: Role of mechanical factors in the clinical presentation of plantar heel pain: Implications for management. Foot (Edinb). 2019 Sep 3; 42.
[4]	J. D. Goff and R. Crawford: Diagnosis and Treatment of Plantar Fasciitis. American Family Physician. 2012, 84 (6).
[5]	Thomas JL, Christensen JC, and Kravitz SR.: The diagnosis and treatment of heel pain: a clini¬cal practice guideline-revision. J Foot Ankle Surg. 2010; 49 (3 suppl): S1-S19.
[6]	Eugene G. McNally, and Shilpa Shetty.: Plantar Fascia: Imaging Diagnosis and Guided Treatment. Semin Musculoskelet Radiol. 2010; 14: 334–343.
[7]	Hedrick MR.: The plantar aponeurosis. Foot Ankle. 1996; 17: 646–649.
[8]	Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int. 2004; 25 (5): 303-310.
[9]	Karr SD.: Subcalcaneal heel pain. Orthop Clin North Am. 1994; 25: 161–173.
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Sameh Ahmad Khodair, Rasha Loutfy Younes. (2020). Wearing High Heel and Planter Fasciitis: MRI Evaluation. International Journal of Medical Imaging, 8(1), 1-5. https://doi.org/10.11648/j.ijmi.20200801.11

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ACS Style

Sameh Ahmad Khodair; Rasha Loutfy Younes. Wearing High Heel and Planter Fasciitis: MRI Evaluation. Int. J. Med. Imaging 2020, 8(1), 1-5. doi: 10.11648/j.ijmi.20200801.11

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AMA Style

Sameh Ahmad Khodair, Rasha Loutfy Younes. Wearing High Heel and Planter Fasciitis: MRI Evaluation. Int J Med Imaging. 2020;8(1):1-5. doi: 10.11648/j.ijmi.20200801.11

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@article{10.11648/j.ijmi.20200801.11,
  author = {Sameh Ahmad Khodair and Rasha Loutfy Younes},
  title = {Wearing High Heel and Planter Fasciitis: MRI Evaluation},
  journal = {International Journal of Medical Imaging},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ijmi.20200801.11},
  url = {https://doi.org/10.11648/j.ijmi.20200801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20200801.11},
  abstract = {Purpose: To determine the type and frequency of characteristic MRI changes of the plantaris fascia in patients with painful heel and wear high heel shoes. Materials and Methods: 40 patients with painful heel, wearing high heels, their age raged from 25-50 years, underwent MR imaging. A control group included 20 subjects with no history of painful heel & not using high heels were included. Associations between the presence of palnter fasciitis, high heel, and body mass index, height of the heel, MRI imaging, self-reported co-morbidities and current heel pain were then explored. MR images were obtained with a 1.5-T superconducting MR imager with a 5-inch (13-cm) standard small flexible surface coil. Results: Thirty cases (75%) of the clinically suspected of plantar fasciitis was established by MR imaging. The most common finding was a peritendinous edema at the calcaneal insertion site which was found in all 30 patients. In 16 patients (53%), an intratendinous signal intensity increase of the plantar fascia could be observed. Compared to the control group (mean thickness 3.3 mm) the plantar fascia showed significant thickening in the thirty MR positive patients (mean thickness 7.7 mm). Conclusion: Planter fasciitis is common in high heel using women. Besides thickening of the plantar fascia, intratendinous signal intensity increase and peritendinous edema close to the plantar fascia are characteristic signs of plantar fasciitis on MRI. Both signs can reliably be seen on STIR sequences only.},
 year = {2020}
}

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TY - JOUR
T1 - Wearing High Heel and Planter Fasciitis: MRI Evaluation
AU - Sameh Ahmad Khodair
AU - Rasha Loutfy Younes
Y1 - 2020/01/07
PY - 2020
N1 - https://doi.org/10.11648/j.ijmi.20200801.11
DO - 10.11648/j.ijmi.20200801.11
T2 - International Journal of Medical Imaging
JF - International Journal of Medical Imaging
JO - International Journal of Medical Imaging
SP - 1
EP - 5
PB - Science Publishing Group
SN - 2330-832X
UR - https://doi.org/10.11648/j.ijmi.20200801.11
AB - Purpose: To determine the type and frequency of characteristic MRI changes of the plantaris fascia in patients with painful heel and wear high heel shoes. Materials and Methods: 40 patients with painful heel, wearing high heels, their age raged from 25-50 years, underwent MR imaging. A control group included 20 subjects with no history of painful heel & not using high heels were included. Associations between the presence of palnter fasciitis, high heel, and body mass index, height of the heel, MRI imaging, self-reported co-morbidities and current heel pain were then explored. MR images were obtained with a 1.5-T superconducting MR imager with a 5-inch (13-cm) standard small flexible surface coil. Results: Thirty cases (75%) of the clinically suspected of plantar fasciitis was established by MR imaging. The most common finding was a peritendinous edema at the calcaneal insertion site which was found in all 30 patients. In 16 patients (53%), an intratendinous signal intensity increase of the plantar fascia could be observed. Compared to the control group (mean thickness 3.3 mm) the plantar fascia showed significant thickening in the thirty MR positive patients (mean thickness 7.7 mm). Conclusion: Planter fasciitis is common in high heel using women. Besides thickening of the plantar fascia, intratendinous signal intensity increase and peritendinous edema close to the plantar fascia are characteristic signs of plantar fasciitis on MRI. Both signs can reliably be seen on STIR sequences only.
VL - 8
IS - 1
ER -

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Author Information

Sameh Ahmad Khodair

Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Rasha Loutfy Younes

Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

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APA Style

Sameh Ahmad Khodair, Rasha Loutfy Younes. (2020). Wearing High Heel and Planter Fasciitis: MRI Evaluation. International Journal of Medical Imaging, 8(1), 1-5. https://doi.org/10.11648/j.ijmi.20200801.11

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ACS Style

Sameh Ahmad Khodair; Rasha Loutfy Younes. Wearing High Heel and Planter Fasciitis: MRI Evaluation. Int. J. Med. Imaging 2020, 8(1), 1-5. doi: 10.11648/j.ijmi.20200801.11

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AMA Style

Sameh Ahmad Khodair, Rasha Loutfy Younes. Wearing High Heel and Planter Fasciitis: MRI Evaluation. Int J Med Imaging. 2020;8(1):1-5. doi: 10.11648/j.ijmi.20200801.11

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@article{10.11648/j.ijmi.20200801.11,
  author = {Sameh Ahmad Khodair and Rasha Loutfy Younes},
  title = {Wearing High Heel and Planter Fasciitis: MRI Evaluation},
  journal = {International Journal of Medical Imaging},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ijmi.20200801.11},
  url = {https://doi.org/10.11648/j.ijmi.20200801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20200801.11},
  abstract = {Purpose: To determine the type and frequency of characteristic MRI changes of the plantaris fascia in patients with painful heel and wear high heel shoes. Materials and Methods: 40 patients with painful heel, wearing high heels, their age raged from 25-50 years, underwent MR imaging. A control group included 20 subjects with no history of painful heel & not using high heels were included. Associations between the presence of palnter fasciitis, high heel, and body mass index, height of the heel, MRI imaging, self-reported co-morbidities and current heel pain were then explored. MR images were obtained with a 1.5-T superconducting MR imager with a 5-inch (13-cm) standard small flexible surface coil. Results: Thirty cases (75%) of the clinically suspected of plantar fasciitis was established by MR imaging. The most common finding was a peritendinous edema at the calcaneal insertion site which was found in all 30 patients. In 16 patients (53%), an intratendinous signal intensity increase of the plantar fascia could be observed. Compared to the control group (mean thickness 3.3 mm) the plantar fascia showed significant thickening in the thirty MR positive patients (mean thickness 7.7 mm). Conclusion: Planter fasciitis is common in high heel using women. Besides thickening of the plantar fascia, intratendinous signal intensity increase and peritendinous edema close to the plantar fascia are characteristic signs of plantar fasciitis on MRI. Both signs can reliably be seen on STIR sequences only.},
 year = {2020}
}

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