Sonographic measurements of the achilles tendon, plantar fascia, and heel fat pad are reliable: A test‐retest intra‐ and intertester study

Johannsen, Finn Elkjær; Jensen, Sigmund; Stallknecht, Sandra Elkjær; Olsen, Lars Otto; Magnusson, S. Peter

doi:10.1002/jcu.22365

Cited by 22 publications

(26 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In another study performed by Johannsen et al [11], conducted on 17 patients suffering from heel pain, they showed excellent interobserver reliability using the mean of two measurements (ICC 0.85 -0.95).…”

Section: Discussionmentioning

confidence: 93%

New Approach for B-Mode Ultrasound (US) Evaluation of the Plantar Aponeurosis (PA) Thickness in Healthy Subjects

Ellah

Kremser

Strobl

et al. 2018

Fortschr Röntgenstr

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 93%

New Approach for B-Mode Ultrasound (US) Evaluation of the Plantar Aponeurosis (PA) Thickness in Healthy Subjects

Ellah

Kremser

Strobl

et al. 2018

Fortschr Röntgenstr

View full text Add to dashboard Cite

show abstract

“…Many other studies have used healthy volunteers which often make it easier to obtain good images because of the more marked boundaries compared to that of a sick tendon [2]. Others have only been shown pictures of images without obtaining them themselves and some have spent 6 minutes per obtained image [4,7].…”

Section: Discussionmentioning

confidence: 99%

“…The study was part of a randomized clinical trial evaluating the treatment of plantar fasciitis including intra-and inter-observer reliability among senior specialists [2].…”

Section: Methodsmentioning

confidence: 99%

Learning musculoskeletal ultrasound

Jensen¹,

Johannsen²

2017

Phys Ther Rehabil

Self Cite

View full text Add to dashboard Cite

Aim: To evaluate if an acceptable diagnostic level of musculoskeletal ultrasonography(US) can be achieved by a US-novice when taught by an expert during a 4 month rotation in an outpatient clinic. Methods: All patients referred to an out-patient clinic with heel pain during one month (July 2013) were offered participation. No declined and 17 were included. The exam included 4 US images of both feet: a cross sectional scan of the thickest part of the Achilles tendon,a longitudinal scan of the plantar fascia anda cross sectional of the heel fat pad with and without pressure. These 8 images were repeated after a few minutes resulting in 8 pairs of images. After 2 months all the images were reviewed randomly in a blinded manner and measurements were performed.Hereby two different measurements on two different images were performed. The intra-tester reliability was compared by Intra-class Correlation Coefficient (ICC) and typical error (TE). Results: The US novice trainee achieved an acceptable good ICC (0.64 to 0.90)with agreements (TE 7.1-17.5%), albeit lower than the experienced doctorwith substantial ICC (0.90-0.97) and TE (3.4-6.7%). Conclusion: A 4 month rotation in an outpatient clinic with daily use of musculoskeletal ultrasound can lead to acceptable ultrasonographic skills in a novice with no prior ultrasonography experience.

show abstract

“…The patients were lying prone face down with their feet hanging loose using the same US technique proven with high reliability for examining the plantar fascia, the plantar fat pad, and the Achilles tendon by the same rheumatologist (FJ). 18 All feet were examined for hypo-and hyperechoic changes within the fascia and with color Doppler, and the thickness of the central band of the plantar fascia was measured. To ensure it was the central band, the fascia was followed from the forefoot and back to the insertion on the calcaneus (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

Applicability of contrast‐enhanced ultrasound in the diagnosis of plantar fasciitis

Broholm

Pingel

Simonsen

et al. 2017

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

Contrast-enhanced ultrasound (CEUS) is used to visualize the microvascularization in various tissues. The purpose of this study was to investigate whether CEUS could be used to visualize the microvascular volume (MV) in the plantar fascia, and to compare the method to clinical symptoms and B-mode ultrasound (US) in patients with plantar fasciitis (PF). Twenty patients with unilateral PF were included and were divided by US in insertional thickening (10), midsubstance thickening (5), and no US changes (5). The MV was measured simultaneously in both heels. Four areas in the plantar fascia and plantar fat pad were measured independently by two observers. Inter- and intra-observer correlation analyses were performed. The asymptomatic heels showed a constantly low MV, and for the whole group of patients, a significantly higher MV was found in the symptomatic plantar fascia and plantar fat pad. Inter-observer correlation as well as intra-observer agreement was excellent. The MV in the plantar fascia and plantar fat pad can be measured reliably using CEUS, suggesting that it is a reproducible method to examine patients with plantar fasciitis.

show abstract

Sonographic measurements of the achilles tendon, plantar fascia, and heel fat pad are reliable: A test‐retest intra‐ and intertester study

Cited by 22 publications

References 25 publications

New Approach for B-Mode Ultrasound (US) Evaluation of the Plantar Aponeurosis (PA) Thickness in Healthy Subjects

New Approach for B-Mode Ultrasound (US) Evaluation of the Plantar Aponeurosis (PA) Thickness in Healthy Subjects

Learning musculoskeletal ultrasound

Applicability of contrast‐enhanced ultrasound in the diagnosis of plantar fasciitis

Contact Info

Product

Resources

About