Fazal Muhammad Ali, Tsekes Demetris, Baloch Irshad
Barnet & Chase Farm Hospitals, Royal Free Hospitals NHS Foundation Trust, Enfield, London, UK.
Foot Ankle Spec. 2018 Jun;11(3):242-245. doi: 10.1177/1938640017729493. Epub 2017 Sep 6.
There is an increasing trend to investigate plantar heel pain with magnetic resonance imaging (MRI) scan though plantar fasciitis is the most common cause. The purpose of our study was to evaluate the role of MRI in patients presenting with plantar heel pain.
Case notes and MRI scans of 141 patients with a clinical diagnosis of plantar fasciitis were reviewed retrospectively. There were 98 females and 43 males patients. Fourteen patients had bilateral symptoms. Average age for male patients was 51 years (range = 26-78 years), and for female patients the average age was 52 years (range = 29-76 years).
A total of 121 feet had MRI features suggestive of plantar fasciitis. MRI was normal in 32 feet. There was one case of stress fracture of calcaneus and another of a heel fibroma diagnosed on MRI scan.
In our study, MRI scan was normal in 20.7% of the cases; 1.3% had a diagnosis other than plantar fasciitis but no sinister pathology. We therefore conclude that MRI scan is not routinely indicated and key is careful clinical assessment.
Therapeutic, Level IV: Retrospective, Case series.
尽管足底筋膜炎是足跟疼痛最常见的病因，但使用磁共振成像（MRI）扫描来研究足跟疼痛的趋势却在增加。我们研究的目的是评估MRI在出现足跟疼痛的患者中的作用。
回顾性分析141例临床诊断为足底筋膜炎患者的病历和MRI扫描结果。其中女性患者98例，男性患者43例。14例患者有双侧症状。男性患者的平均年龄为51岁（范围=26-78岁），女性患者的平均年龄为52岁（范围=29-76岁）。
共有121只足的MRI表现提示足底筋膜炎。32只足的MRI结果正常。MRI扫描诊断出1例跟骨应力性骨折和1例足跟纤维瘤。
在我们的研究中，20.7%的病例MRI扫描结果正常；1.3%的病例诊断不是足底筋膜炎，但无严重病变。因此，我们得出结论，MRI扫描并非常规必需，关键在于仔细的临床评估。
治疗性，四级：回顾性病例系列研究。
