Role of shear wave elastography in the diagnostic evaluation of plantar fasciitis: a prospective case–control study

Ramu, Harshith Yedahally; Sharma, Aseem; Kumar, Nishith; Chandra, Ranjan; Wadhwa, Ranjan Kumar; Singh, Dharmendra Kumar

doi:10.1007/s40477-022-00694-z

Cited by 4 publications

(6 citation statements)

References 16 publications

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“…• Similar findings were found by Schilizzi and Baur; however, the cutoff values varied between studies 16,17 • Jiang found that it was sufficient to use single point analysis for screening of early stage plantar fasciopathy using SWE 18 • In a within-subject design, similar results were found comparing the affected foot and the unaffected foot in the same patient 19 • In patients with plantar fasciitis, there was increased passive stiffness noted in the distal Achilles tendon when the foot was held in a relaxed, but not neutral position, as well as the medial gastrocnemius muscle 20,21 ligament, and the thenar musculature. SWV of the median nerve was found to be significantly greater in patients with CTS than control patients.…”

Section: Plantar Fasciasupporting

confidence: 65%

“…Seven studies were identified that evaluated the use of SWE in the diagnosis of plantar fasciitis 15‐21 . These studies found that multiple elasticity values were lower in the individuals with symptomatic plantar fasciitis as compared to asymptomatic controls.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies were identified that evaluated the use of SWE in the diagnosis of plantar fasciitis. [15][16][17][18][19][20][21] These studies found that multiple elasticity values were lower in the individuals with symptomatic plantar fasciitis as compared to asymptomatic controls. Elasticity values in individuals with plantar fasciitis were also lower than values in the contralateral unaffected side of individuals with unilateral plantar fascitis.…”

Section: Plantar Fasciitismentioning

confidence: 89%

“…Study designs included: Case Control (19), Cross Sectional (13), Prospective Cohort (5), and Retrospective Cohort (1). Of the primary literature included, there was a variety of ultrasound systems utilized for shear wave analysis.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Diagnostic utility of shear wave elastography in musculoskeletal injuries: A narrative review

Chowdhary,

Raum,

Visco

2024

PM&R

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Shear wave elastography (SWE) is an emerging and promising ultrasound modality, and is more recently employed in the diagnosis of musculoskeletal (MSK) pathologies. SWE evaluates tissue stiffness by measuring the speed of propagating acoustic waves through body tissue structures. Knowing the variations in stiffness of MSK soft tissue can provide helpful diagnostic insight for the evaluation of pathology in muscles, tendons, ligaments, nerves, and other soft tissues. The goal of this review is to synthesize recent literature on the utility of SWE for MSK pathology diagnosis. This review reveals that SWE adds important diagnostic data for the evaluation of several pathologies, such as median mononeuropathy at the wrist, Achilles tendinopathy, and plantar fasciitis. The review also reveals a lack of evidence pertaining to appropriate standardization of use and the connection to reliable and valid diagnostic benefit in the clinical setting.

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Section: Plantar Fasciasupporting

confidence: 65%

Section: Resultsmentioning

confidence: 99%

Section: Plantar Fasciitismentioning

confidence: 89%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic utility of shear wave elastography in musculoskeletal injuries: A narrative review

Chowdhary,

Raum,

Visco

2024

PM&R

View full text Add to dashboard Cite

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“…Putz et al evaluated only patients with plantar fasciitis, observing higher values of stiffness (mean SWE velocity of 5.08 ± 2.24 m/s) in the most painful areas of the PF, but without reporting any statistical results on SWE [14]. Ramu and colleagues compared healthy and pathological PFs, reporting significantly lower SWE velocities in pathologic PFs (p < 0.001) using a cut-off value of Young's modulus of the PF for the diagnosis of plantar fasciitis of ≤ 99.286 kPa (SWE velocity of ≤ 5.75 m/s), with maximum accuracy of 98.3% [15]. Baur et al found a mean SWE velocity of 6.94 m/s in healthy PFs and of 4.98 m/s in pathologic PFs and mean stiffness of 152.88 kPa and 93.54 kPa, respectively (p < 0.001), reaching about 80% specificity and sensitivity using cut-off values of 6.16 m/s for SWE velocity and of 125.57 kPa for stiffness [16].…”

Section: Studies Not Included In the Meta-analysismentioning

confidence: 99%

Shear-wave elastography of the plantar fascia: a systematic review and meta-analysis

et al. 2023

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Purpose To assess the efficacy of shear-wave elastography (SWE) of the plantar fascia (PF) in identifying plantar fasciitis. Methods A literature search was conducted on the PubMed and Medline databases for articles published up to August 2022. The Newcastle–Ottawa scale was used to assess the risk of bias. We included original research studies in English dealing with the evaluation of patients with plantar fasciitis by means of SWE and including shear modulus (KPa) and/or shear-wave velocity (m/s). We compared healthy and pathologic PF stiffness using the standardised mean difference (SMD) in a random-effects model (95% CI). Results Five studies were included with a total of 158 pathologic PFs and 134 healthy PFs. No significant publication bias was detected. Studies were highly heterogeneous (p < 0.00001; I2 = 97%). Pathologic PFs showed significantly lower stiffness, with an SMD of − 3.00 m/s (95% confidence interval: − 4.95 to − 1.06, p = 0.002), compared to healthy PF. Conclusion Pathologic PFs present significantly lower stiffness than healthy PFs. However, the analysed studies are highly heterogeneous.

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Ultrasound Shear Wave Elastography of the Arch-Supporting Structures in Symptomatic Flatfoot: A Pilot Study

Latt,

Kim,

Caruso

et al. 2024

Foot & Ankle Orthopaedics

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Background: The posterior tibial tendon (PTT), deltoid ligament, and spring ligament are often torn or attenuated in patients with progressive collapsing foot deformity. The goal of this pilot study was to measure the ultrasound shear wave velocity (SWV) of these arch-supporting structures in feet with varying degrees of deformity to improve our understanding of their role in the progression of deformity. Methods: Two observers measured the SWV of the supramalleolar and inframalleolar PTT in long and short axes, in the tibiospring portion of the deltoid ligament, and in the superomedial band of the spring ligament in 8 neutrally aligned feet, 5 asymptomatic flatfeet, and 7 symptomatic flatfeet. Each measurement was repeated 3 times both with and without an applied eversion stress. Results: Average SWV was lower at all locations in the symptomatic flatfeet compared with normal feet, but these differences were statistically significant only for the inframalleolar PTT and the spring ligament. Externally applied stress led to an increase in the SWV of the ligaments but a paradoxical decrease in the SWV in the supramalleolar PTT. The SWV of the PTT was lower along the short axis compared with the long axis. Conclusion: SWV may be useful in evaluating the severity of degenerative disease of arch-supporting structures, but further study is needed before this technique can be applied clinically. Level of Evidence: Level III, case-control study.

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Role of shear wave elastography in the diagnostic evaluation of plantar fasciitis: a prospective case–control study

Cited by 4 publications

References 16 publications

Diagnostic utility of shear wave elastography in musculoskeletal injuries: A narrative review

Diagnostic utility of shear wave elastography in musculoskeletal injuries: A narrative review

Shear-wave elastography of the plantar fascia: a systematic review and meta-analysis

Ultrasound Shear Wave Elastography of the Arch-Supporting Structures in Symptomatic Flatfoot: A Pilot Study

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