Open AccessTechnical report: dynamic assessment of plantar fasciitis and plantar fascia tears utilising dorsiflexion of the great toe
Author(s) -
James Kho,
Ghassan Almeer,
Sharon McGarry,
Steven James,
Rajesh Botchu
Publication year - 2019
Publication title -
journal of ultrasound
Language(s) - English
Resource type - Journals
eISSN - 1971-3495
pISSN - 1876-7931
DOI - 10.1007/s40477-019-00411-3
Subject(s) - plantar fascia , plantar fasciitis , medicine , tears , fascia , ultrasound , orthodontics , anatomy , heel , surgery , radiology
Discrimination between plantar fasciitis and partial tears of the plantar fascia can be difficult on ultrasound given laxity of the plantar fascia in the region of its calcaneal insertion and anisotropy. Dynamic assessment with great toe dorsiflexion can improve visualisation of the proximal portion of the plantar fascia on ultrasound, by straightening the plantar fascia due to the windlass mechanism. This article describes the technique and its anatomical basis.