Wearing High Heel and Planter Fasciitis: MRI Evaluation
International Journal of Medical Imaging
Volume 8, Issue 1, March 2020, Pages: 1-5
Received: Dec. 13, 2019;
Accepted: Dec. 30, 2019;
Published: Jan. 7, 2020
Views 491 Downloads 114
Sameh Ahmad Khodair, Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Rasha Loutfy Younes, Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Follow on us
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.
MRI, Plantaris Fascia, High Heel Shoes, Painful Heel
To cite this article
Sameh Ahmad Khodair,
Rasha Loutfy Younes,
Wearing High Heel and Planter Fasciitis: MRI Evaluation, International Journal of Medical Imaging.
Vol. 8, No. 1,
2020, pp. 1-5.
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
A. Ahmady, E. Soodmand, I. Soodmand, T. L Milani: The effect of various heights of high-heeled shoes on foot arch deformation: Finite element analysis. Journal of Foot and Ankle Research. 2014; 7 (Suppl 1): A78.
Yu J.: Biomechanical simulation of high-heeled shoe donning and walking. Journal of Biomechanics. 2013, 46 (12): 2067-2074.
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.
J. D. Goff and R. Crawford: Diagnosis and Treatment of Plantar Fasciitis. American Family Physician. 2012, 84 (6).
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.
Eugene G. McNally, and Shilpa Shetty.: Plantar Fascia: Imaging Diagnosis and Guided Treatment. Semin Musculoskelet Radiol. 2010; 14: 334–343.
Hedrick MR.: The plantar aponeurosis. Foot Ankle. 1996; 17: 646–649.
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.
Karr SD.: Subcalcaneal heel pain. Orthop Clin North Am. 1994; 25: 161–173.
Lemont H, Ammirati KM, and Usen N.: Plantar fasciitis: a degenerative process (fasciosis) without inﬂammation. J Am Podiatr Med Assoc. 2003; 93 (3): 234–237.
Yu J, et al: Development of a finite element model of female foot for high-heeled shoe design. Clinical Biomechanics. 2008, 23: S31-S38.
Esenyel M, et al: Kinetics of high-heeled gait. Journal of the American Pediatric Medical Association. 2003, 93 (1): 27-32.
Bailie DS, Kelikian AS.: Tarsal tunnel syndrome: diagnosis, surgical technique, and functional outcome. Foot Ankle. 1998; 19: 65–72.
Grasel R, Schweitzer M, Kovalovich A, et al.: MR imaging of plantar fasciitis: edema, tears, and occult marrow abnormalities correlated with outcome. AJR. 1999; 173: 699–701.