|
|
|
| Study of multimodal imaging technology for pathogenesis of plantar fascia inflammatory calcaneodynia |
| LI Ping WANG Donghai GUO Fangfang WU Danni |
| Department of Function, Second Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010030, China |
|
|
|
Abstract Objective To study the correlation between the elasticity of plantar fascia and arch deformation, in order to dicuss pathogenesis of plantar fascia inflammatory calcaneodynia, by high-frequency ultrasound, ultrasonic elastography CT three dimensional reconstruction. Methods From December 2015 to December 2016, in Second Affiliated Hospital of Inner Mongolia Medical University, 88 plantar fasciitis patients (single foot) were selected as observation group, at the same time, 48 healthy volunteers were selected as control group. Two groups were given X-ray lateral and CT three dimensional reconstruction, in order to get the anatomic site and form of plantar fascia, measure thickness and elasticity of plantar fascia, the arch angles while weight-bearing and non-weight-bearing were respectively measured by referring to osseous marks, the thickness, elasticity and regularity of the variation of arch angles of plantar fascia different sites of two groups were compared. Results The thickness of plantar fascia initial segment (PF1) in observation group was more than control group, the difference was statistically significant (P < 0.05). The elasticity of PF1 from the observation group was less than control group, and elasticity of PF1 from was less than plantar fascia contral from (PF2) in observation group, the differences were statistically significant (P < 0.05). The variation of arch angels of observation and control groups from weight-bearing to non-weight-bearing in two groups were compared, the difference was statistically significant (P < 0.05). Conclusion The thickness of plantar fascia can be measured by elastography technique, the elasticity of plantar fascia influences the deformability of arch angel, the recession of the deformability of arch angel is one of the major causes of calcaneodynia due to plantar fasciitis.
|
|
|
|
|
|
[1] 梁军，杨云峰.人体足底韧带松解后足部的形态改变及应力分布的实验研究[J].生命科学，2011，41（1）：78-81.
[2] 李兵，俞光荣.足横弓的维持及生物力学[J].医用生物力学，2009，24（2）：192-196.
[3] 张鹏，俞光荣.足底跖腱膜炎的研究现状[J].中国矫形外科杂志，2013，21（23）：2375-2378.
[4] 马显志，陈兆军.跟痛症治疗进展[J].中国骨与关节外科，2012，5（4）：373-376.
[5] 宋烨，李园，陆雯，等.超声检查足底腱膜厚度和回声的信度研究[J].中华创伤骨科杂志，2014，16（6）：486-489
[6] 刘瑞莲，屈红林.中老年足底筋膜炎及其康复训练研究进展[J].海峡医药，2013，25（4）：4411-4416.
[7] 毛宾尧，俞光荣.踝足外科学[M].2版．北京：科学出版社，2007.
[8] 汤晓艳，肌肉骨骼超声检查对慢性足底筋膜炎的诊断价值[J].海南医学，2017，28（9）：2835-2840.
[9] 韦骏，王树庆.足底筋膜炎的磁共振表现[J].广东医学，2016，37（22）：171-179.
[10] Crary L，Hollis J，Manoli A. The effect of plantar fascia rele?鄄ase on strain in the spring and long plantar ligaments [J]. Foot Ankle Int，2003，24（3）：245-250.
[11] 贺凡丁，卢漫，成雪晴，等. 超声引导下介入治疗跖筋膜炎的临床价值[J].中华医学超声杂志：电子版，2015， 12（1）：35-38.
[12] 李菁华，吴青青，孙丽娟，等.超声弹性成像技术在妇产科领域中的研究应用[J].中华医学超声杂志：电子版，2016，15（10）：723-725.
[13] 李昶田，李俊来.超声弹性成像技术在颅脑疾病诊断方面的应用进展[J].中华医学超声杂志：电子版，2016，12（2）：105-107.
[14] 温朝阳，范春芝，安力春，等.实时定量超声弹性成像技术检测肱二头肌松弛和紧张状态下弹性模量值差异[J].中华医学超声杂志：电子版，2011，8（1）：129-134
[15] Sconfienza LM，Silvestri E，Orlandi D，等.足底筋膜的实时超声弹性成像：足底筋膜炎病人与健康对照组比较[J].国际医学放射学杂志，2013，36（3）：278-283.
[16] Mio S，史晓喆.足底筋膜的超声弹性图[J].国际医学放射学杂志，2011，34（4）：378-382.
[17] 张建中，马可.足底筋膜炎的基础及临床研究[J].足踝外科电子杂志，2014，12（01）：67-71.
[18] Tong JW，Kong PW. Association between foot type and lower extremity injuries：systematic literature review with meta-analysis [J]. Orthop Sports Phys Ther，2013，43（10）：700-712.
[19] Oktem H，Calgüner E，Erdo■an D，et al. Age- related changes in light microscopy with Sirius red technique in rat achilles tendon [J]. Eklem Hastalik Cerrahisi，2010， 21（1）：50-55.
[20] 刘瑞莲，屈红林.中老年足底筋膜炎及其康复训练研究进展[J].中国老年学杂志，2015，35（15）：4411-4414. |
|
|
|
