ACR Appropriateness Criteria® Chronic Foot Pain

Tafur, Mónica; Bencardino, Jenny T.; Roberts, Catherine C.; Appel, Marc; Bell, Angela M.; Gyftopoulos, Soterios; Metter, Darlene F; Mintz, Douglas N.; Morrison, William B.; Small, Kirstin M.; Subhas, Naveen; Weissman, Barbara N.; Yu, Joseph S.; Kransdorf, Mark J.

doi:10.1016/j.jacr.2020.09.015

Cited by 9 publications

(7 citation statements)

References 78 publications

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“…The American College of Radiology guidelines state that plain radiography, although not sensitive, is initially indicated for plantar fasciitis (Expert Panel on Musculoskeletal Imaging, et al., 2020). In our study, standard radiographs showed plantar calcaneal spurs in 12 patients (30%) and 20 heels (25%).…”

Section: Discussionmentioning

confidence: 99%

Is there an association between plantar fasciitis and knee osteoarthritis?

Miladi

Bouzid

Fazaa

et al. 2023

Musculoskeletal Care

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BackgroundKnee osteoarthritis (OA) and plantar fasciitis share similar risk factors including ageing, occupation, obesity, and inappropriate shoe wear. However, the association between knee OA and heel pain caused by plantar fasciitis has received limited attention to date.AimWe aimed to assess the prevalence of plantar fasciitis using ultrasound in patients with knee OA and to identify factors associated with plantar fasciitis in these patients.Patients and methodsWe conducted a cross‐sectional study including patients with Knee OA, fulfiling the European League Against Rheumatism criteria. The Western Ontario and McMaster Universities Osteoarthritis (WOMAC) and the Lequesne indexes were used to evaluate pain and function of the knees. The Manchester Foot Pain and Disability Index (MFPDI) was used to estimate foot pain and disability. Each patient underwent a physical examination, plain radiographs of the knees and the heels, and an ultrasound examination of both heels to find signs of plantar fasciitis. Statistical analysis was performed using SPSS.ResultsWe included 40 knee OA patients, with a mean age of 59.85 ± 9.65 years [32–74] and a male‐to‐female ratio of 0.17. The mean WOMAC was 34.03 ± 19.9 [4–75]. The mean Lequesne for knees was 9.62 ± 4.57 [3–16.5]. Among our patients, 52% (n = 21) experienced heel pain. The heel pain was severe in 19% (n = 4). The mean MFPDI was 4.67 ± 4.16 [0–8]. Limited ankle dorsiflexion and plantar flexion were noted in 47% of patients (n = 17) each. High and low arch deformities were seen in 23% (n = 9) and 40% (n = 16) of patients. Ultrasound revealed a thickened plantar fascia in 62% (n = 25). An abnormal hypoechoic plantar fascia was noted in 47% (n = 19), with the loss of normal fibrillar architecture in 12 cases (30%). No Doppler signal was exhibited. Patients with plantar fasciitis had significantly limited dorsiflexion (n = 2 (13%) versus n = 15 (60%), p = 0.004) and plantar flexion (n = 3 (20%) versus n = 14 (56%), p = 0.026). The range of supination was also less important in the plantar fasciitis group (17.73 ± 4.1 vs. 12.8 ± 6.46, p = 0.027). The low arch was statistically more present in patients with plantar fasciitis (G1: 36% [n = 9] vs. G0: 0% [n = 0], p = 0.015). However, the high arch deformity was statistically more present in patients without plantar fasciitis (G1: 28% [n = 7] vs. G0: 60% [n = 9], p = 0.046). Multivariate analysis showed that the risk factor for plantar fasciitis in knee OA patients was limited dorsiflexion (OR = 3.889, 95% CI [0.017–0.987], p = 0.049).ConclusionIn conclusion, our work showed that plantar fasciitis is frequent in knee OA patients, with reduced ankle dorsiflexion being the main risk factor for plantar fasciitis in these patients.

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Section: Discussionmentioning

confidence: 99%

Is there an association between plantar fasciitis and knee osteoarthritis?

Miladi

Bouzid

Fazaa

et al. 2023

Musculoskeletal Care

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“…MRI features associated with Plantar fasciitis include thickening and inflammation in the plantar aponeurosis, adjacent soft-tissue edema, reactive calcaneal marrow edema, and any evidence of rupture of the fascia if present. MRI has been given a score of 9 on the American College of Radiology appropriateness criteria [76,77]. Although, highly sensitive, MRI has limited specificity for the detection of the exact pain generator in the foot, especially in cases where multiple pathologies coexist.…”

Section: Plantar Fasciitismentioning

confidence: 99%

Emerging role of bone scintigraphy single-photon emission computed tomography/computed tomography in foot pain management

Singh

Agrawal

Trıpathy

et al. 2023

Nuclear Medicine Communications

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Foot and ankle joints being weight-bearing joints are commonly subjected to wear and tear and are prone to traumatic and other pathologies. Most of these foot and ankle pathologies present with pain. The diagnosis of pathology and localization of pain generators is difficult owing to the complex anatomy of the foot and similar clinical presentation. This makes the management of foot pain clinically challenging. Conventional anatomical imaging modalities are commonly employed for evaluation of any anatomical defect; however, these modalities often fail to describe the functional significance of the anatomical lesions, especially in presence of multiple lesions which is common in ankle and foot; however, hybrid single-photon emission computed tomography/ computed tomography (SPECT/CT) by virtue of its dual modalities, that is, highly sensitive functional imaging and highly specific anatomical imaging can serve as a problem-solving tool in patient management. This review attempts to describe the role of hybrid SPECT/CT in overcoming the limitation of conventional imaging and describes its potential application in the management of foot and ankle pain.

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“…We reviewed relevant recommendations related to the 25 clinical/diagnostic scenarios previously published by radiology and specialty societies, including: the Canadian Association of Radiologists, 9 the American Academy of Orthopaedic Surgeons, 10,11 the American College of Physicians (ACP), 12 the American College of Radiology (ACR), [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] the Brazilian Society of Rheumatology, 31 the combined guideline by the European Association of Nuclear Medicine, the European Bone and Joint Infection Society, and the European Society of Radiology, [32][33][34] the European League Against Rheumatism (EULAR), 35,36 the European Society of Musculoskeletal Radiology, 37 the European Society for Medical Oncology, 38 39 the International Consensus on Orthopedic Infections, 40 the International Hip-related Pain Research Network, 41 the Lisbon Agreement, [42][43][44] the National Institute for Health and Care Excellence, 45-52 the Paget's Association, 53 the Royal College of Radiologists (RCR), 54 the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine, 55 the Spanish Society of Rheumatology, …”

Section: Systematic Scoping Reviewmentioning

confidence: 99%

Canadian Association of Radiologists Musculoskeletal System Diagnostic Imaging Referral Guideline

Hamel,

Avard,

Gorelik

et al. 2023

Can Assoc Radiol J

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The Canadian Association of Radiologists (CAR) Musculoskeletal System Expert Panel consists of musculoskeletal radiologists, a family physician, a sports and exercise medicine physician, emergency medicine physicians, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 25 musculoskeletal clinical/diagnostic scenarios, a systematic rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for 1 or more of these clinical/diagnostic scenarios. Recommendations from 41 guidelines (50 publications) and contextualization criteria in the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) for guidelines framework were used to develop 124 recommendation statements across the 25 scenarios related to the evaluation of the musculoskeletal system. This guideline presents the methods of development and the recommendations for imaging in the context of musculoskeletal pain, infection, tumors, arthropathies, metabolic bone disease, stress injuries, orthopedic hardware, avascular necrosis/bone infarction, and complex regional pain syndrome.

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ACR Appropriateness Criteria® Chronic Foot Pain

Cited by 9 publications

References 78 publications

Is there an association between plantar fasciitis and knee osteoarthritis?

Is there an association between plantar fasciitis and knee osteoarthritis?

Emerging role of bone scintigraphy single-photon emission computed tomography/computed tomography in foot pain management

Canadian Association of Radiologists Musculoskeletal System Diagnostic Imaging Referral Guideline

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