1 Orthopaedic Department, Hospital del Mar, Barcelona, Spain.
2 Department of Radiology and Radiodiagnostic, Hospital del Mar, Barcelona, Spain.
Foot Ankle Int. 2018 Aug;39(8):930-934. doi: 10.1177/1071100718772041. Epub 2018 Apr 26.
The measurement of plantar fascia thickness has been advocated as a diagnostic and prognostic instrument in patients with plantar fasciitis, but there are no data relative to it in recalcitrant plantar fasciitis. The aim of the study is to evaluate the correlation between plantar fascia thickness and pain, functional score, and health perception in patients with this condition.
Thirty-eight feet were studied with ultrasound and magnetic resonance imaging to measure plantar fascia thickness. The visual analogue scale (VAS), American Orthopaedic Foot & Ankle Society Hindfoot Score (AOFAS), and SF-36 were then recorded for each patient. The relationship between the fascia and these scores was analyzed to evaluate the correlation of thickness with pain, functional level, and health perception of patients.
In patients with recalcitrant plantar fasciitis, plantar fascia thickness did not correlate with pain (VAS), AOFAS, or any item of the SF-36.
The thickness of the plantar fascia in patients with recalcitrant plantar fasciitis did not correlate with its clinical impact, and thus, we believe it should not be used in treatment planning.
Level IV, case series.
足底筋膜炎患者的足底筋膜厚度测量已被提倡作为一种诊断和预后工具，但在难治性足底筋膜炎中尚无相关数据。本研究的目的是评估足底筋膜炎患者的足底筋膜厚度与疼痛、功能评分和健康感知之间的相关性。
对 38 只脚进行超声和磁共振成像检查以测量足底筋膜厚度。然后为每位患者记录视觉模拟评分（VAS）、美国矫形足踝协会后足评分（AOFAS）和 SF-36。分析筋膜与这些评分之间的关系，以评估厚度与患者疼痛、功能水平和健康感知的相关性。
在难治性足底筋膜炎患者中，足底筋膜厚度与疼痛（VAS）、AOFAS 或 SF-36 的任何项目均无相关性。
在难治性足底筋膜炎患者中，足底筋膜的厚度与临床影响无关，因此，我们认为它不应用于治疗计划。
IV 级，病例系列。
