Theodorou D J, Theodorou S J, Kakitsubata Y, Lektrakul N, Gold G E, Roger B, Resnick D
Department of Radiology, School of Medicine, University of California San Diego, USA.
Radiographics. 2000 Oct;20 Spec No:S181-97. doi: 10.1148/radiographics.20.suppl_1.g00oc01s181.
Understanding of the normal anatomy of the plantar aponeurosis (PA) and familiarity with pathologic conditions are required for an accurate evaluation of the patient with subcalcaneal heel pain. In this study, we evaluated the diagnostic capabilities of magnetic resonance (MR) imaging in the assessment of the PA with close anatomic correlation. Herein, we describe the MR imaging features of plantar fasciitis and fascial rupture in 26 patients. High-spatial-resolution MR imaging was performed in four cadaveric feet, and a prescribed imaging plane was used for depiction of the peroneal component of the PA. MR imaging delineated the anatomy of the PA and perifascial soft tissues. The peroneal component was best visualized in prescribed sagittal oblique images. Perifascial edema was the most common finding of plantar fasciitis, and it was remarkable in those cases with acute fascial rupture. MR imaging reliably delineated the anatomy of the PA and may allow precise localization and definition of the extent of involvement in disease processes.
要准确评估跟骨下足跟痛患者，需要了解足底腱膜（PA）的正常解剖结构并熟悉其病理状况。在本研究中，我们评估了磁共振（MR）成像在评估PA时与紧密解剖相关性的诊断能力。在此，我们描述了26例患者足底筋膜炎和筋膜破裂的MR成像特征。对四只尸体足进行了高空间分辨率MR成像，并使用规定的成像平面来描绘PA的腓骨成分。MR成像描绘了PA和筋膜周围软组织的解剖结构。腓骨成分在规定的矢状斜位图像中显示最佳。筋膜周围水肿是足底筋膜炎最常见的表现，在急性筋膜破裂的病例中尤为明显。MR成像能够可靠地描绘PA的解剖结构，并可能允许对疾病过程中受累范围进行精确的定位和界定。
