Department of Orthopedics, 74647The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, China.
Center for Orthopedic Diseases Research, 74647The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, China.
J Orthop Surg (Hong Kong). 2023 Jan-Apr;31(1):10225536231161181. doi: 10.1177/10225536231161181.
Due to the lack of further studies on the influence of age factors on plantar fasciitis, this study evaluates the characteristic observation points of magnetic resonance imaging in various age cohorts of patients with plantar fasciitis to help diagnosis.
A retrospective analysis of 160 cases of plantar fasciitis patients and normal subjects (who have the disease unrelated to plantar fasciitis) who have undergone an MRI examination in our institution. The two groups were separately divided into young adult subjects (36 to 44 years old), middle age adult subjects (45 to 59 years old), and older adult subjects (60 to 79 years old). Data was gathered regarding plantar fascia thickness, the coronal length of the plantar fascia at the calcaneal origin, the signal intensity of plantar fascia and surrounding structures, and the presence or absence of plantar calcaneal spurs, all of which were assessed objectively by the investigators.
There were statistical differences in the thickness of plantar fascia between two groups of three age cohorts (Older adult patients: 0.59 ± 0.09 cm; Middle age adult patients: 0.49 ± 0.09 cm; Young adult patients: 0.47 ± 0.05 cm) (all < 0.001). In addition, there were also statistical differences in the high signal intensity changes of the plantar fascia and surrounding soft tissues between two groups of three age cohorts (all < 0.001). In older adult plantar fasciitis patients, with regard to plantar calcaneal spur discovery, there was a statistical difference between the two groups (Chi-square = 12.799. df = 1. < 0.001).
In plantar fasciitis cases where a diagnosis is difficult, abnormalities in the soft tissue surrounding the plantar fascia in patients of low age are noteworthy. In older adult patients, the discovery of plantar calcaneal spurs with abnormal thickening of plantar fascia deserves attention, and abnormal MRI findings are more manifest. But the final diagnosis should be based on the medical history.
Level 3.
由于缺乏进一步研究年龄因素对足底筋膜炎的影响，本研究评估了磁共振成像在各年龄组足底筋膜炎患者中的特征观察点，以帮助诊断。
对我院 160 例足底筋膜炎患者和正常受试者（与足底筋膜炎无关的疾病）的 MRI 检查进行回顾性分析。两组患者分别分为青年组（36-44 岁）、中年组（45-59 岁）和老年组（60-79 岁）。研究人员客观地收集了足底筋膜厚度、跟骨起点处足底筋膜的冠状长度、足底筋膜及周围结构的信号强度、以及是否存在足底跟骨骨刺等数据。
三组年龄组之间的足底筋膜厚度存在统计学差异（老年患者：0.59 ± 0.09cm；中年患者：0.49 ± 0.09cm；青年患者：0.47 ± 0.05cm）（均 < 0.001）。此外，三组年龄组之间的足底筋膜及周围软组织高信号改变也存在统计学差异（均 < 0.001）。在老年足底筋膜炎患者中，两组之间发现足底跟骨骨刺存在统计学差异（卡方 = 12.799，df = 1， < 0.001）。
在难以诊断的足底筋膜炎病例中，应注意低龄患者足底筋膜周围软组织的异常。在老年患者中，发现足底跟骨骨刺伴足底筋膜异常增厚时应引起重视，且异常 MRI 表现更为明显。但最终诊断应基于病史。
3 级。
