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Titre : | Magnetic resonance imaging findings of chronic plantar fasciitis before and after extracorporeal shock wave therapy |
Type de document : | article de périodique |
Auteurs : | Masahiro Maki, Auteur ; [et al.], Auteur |
Année de publication : | 2017 |
Article en page(s) : | p. 25-28 |
Langues : | Anglais (eng) |
Descripteurs (mots clés) : | [Thésaurus Mesh]:F:Fasciite plantaire:Fasciite plantaire / thérapie [Thésaurus Mesh]Fasciite plantaire [Thésaurus Mesh]Imagerie par résonance magnétique [Thésaurus HELB]:Paramédical:Thérapie par ondes de choc extracorporelles
|
Mots-clés : | Chronic plantar fasciitis Extracorporeal shock wave therapy Magnetic resonance imaging |
Résumé : | Introduction: The objective of this study is to examine the relationships between treatment outcome and changes
in magnetic resonance (MR) imaging findings after extracorporeal shock wave therapy (ESWT) for chronic
plantar fasciitis.
Methods: The subjects were 23 feet of 23 patients of refractory plantar fasciitis. The mean age was 53.7 years.
The thickness of the plantar fascia (PF) and findings of a high-signal intensity area (HSIA) inside the PF, edema
around the PF, and bone marrow edema (BME) of the calcaneus were investigated on MR images. The Japanese
Society for Surgery of the Foot (JSSF) ankle-hindfoot scale and a visual analogue scale (VAS) were used.
Correlations between an improvement in symptoms and one in the MRI findings were analyzed.
Results: The mean thickness of the PF was 4.4 ± 1.6 mm before ESWT and 4.6 ± 1.8 mm six months after
ESWT. After ESWT, there was a decrease in the numbers of feet showing HSIA inside the PF from 15 to 6, in
edema around the PF from 16 to 2, and in BME of the calcaneus from 11 to 4. Clinical outcomes improved with
ESWT from 70.3 ± 5.5 to 88.6 ± 9.1 points (JSSF), 74.1 ± 25.3 to 28.5 ± 24.4 points (VAS), respectively.
Improvements in symptoms according to the JSSF and VAS scores and improvement in edema around the PF on
MR images showed a significant correlation.
Conclusions: Edema around the PF improved significantly in association with an improvement in symptoms after
ESWT |
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