Wearing High Heel and Planter Fasciitis: MRI Evaluation

Sameh Ahmad Khodair,Rasha Loutfy Younes

doi: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.

Highlights

Women are interested to wear high-heeled shoes to increase their attractiveness
[3] It is a disorder of the insertion site of ligament on the calcaneous bone and is characterized by scarring, inflammation, or structural breakdown of the foot's plantar fascia
We evaluated the diagnostic capabilities of magnetic resonance (MR) imaging in the assessment of the plantar aponeurosis (PA) in correlation with the use of high heel

Summary

Introduction

Women are interested to wear high-heeled shoes to increase their attractiveness. High-heeled shoes might create harmful effects to the musculoskeletal system. [1] earlier studies proved that the function of foot and lower extremity will be changed due to wearing high heeled shoes. [2] Plantar fasciitis ( known as plantar fasciopathy or jogger's heel) is a common painful disorder affecting the heel and underside of the foot. [3] It is a disorder of the insertion site of ligament on the calcaneous bone and is characterized by scarring, inflammation, or structural breakdown of the foot's plantar fascia. [3] It is a disorder of the insertion site of ligament on the calcaneous bone and is characterized by scarring, inflammation, or structural breakdown of the foot's plantar fascia. [1] earlier studies proved that the function of foot and lower extremity will be changed due to wearing high heeled shoes. It is often caused by overuse injury of the plantar fascia. Plantar fasciitis is the most common injury of the plantar fascia and is the most common cause of heel pain It is commonly associated with excessive inward rolling of the foot as in high heel. As a result of this new observation, many in the academic community have stated that the condition should be renamed plantar fasciosis. [5]

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