Sonographically Guided Corticosteroid Injection for Treatment of Plantar Fasciosis

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dc.authorid0000-0003-2003-6337
dc.authorscopusid25027835200
dc.authorscopusid37095337000
dc.authorscopusid37066971300
dc.authorscopusid37094914700
dc.authorscopusid35197435300
dc.authorscopusid14622670700
dc.authorwosidYILMAZ, Ibrahim/H-6199-2019
dc.contributor.authorKayhan, Arda
dc.contributor.authorGökay, Nevzat Selim
dc.contributor.authorAlpaslan, Rumeysa
dc.contributor.authorDemirok, Mehmet
dc.contributor.authorYılmaz, İbrahim
dc.contributor.authorGökçe, Alper
dc.date.accessioned2022-05-11T14:12:29Z
dc.date.available2022-05-11T14:12:29Z
dc.date.issued2011
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dal
dc.description.abstractObjectives-The purpose of this study was to prospectively investigate the effect of sonographically guided corticosteroid injection on the clinical and radiologic responses in patients with proximal plantar fasciosis. Methods-Thirty-one consecutive patients with unilateral plantar fasciosis were enrolled. A 4-cm 21-gauge needle was positioned in a caudocranial oblique manner, and the needle was withdrawn to the near edge of the fascia so that the solution dispersed around the edge. Two milliliters (20 mg/mL) of lignocaine/prilocaine, 1%, and 0.5 mL (20 mg) of methylprednisolone acetate solutions were injected separately. The plantar fascia and fat pad thickness, fascial echogenicity, and perifascial edema were assessed with a 10-5 MHz linear array transducer. The American Orthopedic Foot and Ankle Society midfoot scale was used to assess function, alignment, and pain. The initial radiologic and clinical measurements were compared with data obtained not less than 6 weeks after the injections. Results-A statistically significant decrease in the mean plantar fascia thickness was detected after treatment (P < .0001). There was no statistically significant difference in the plantar fascia echogenicity before and after treatment (P = .11). A statistically significant decrease was found for perifascial edema (P < .0001), and a statistically significant increase in American Orthopedic Foot and Ankle Society scores was detected (P = .0007). There was no decrease in fat pad thickness (P > .1). Plantar fascia rupture was detected in 1 patient. Conclusions-Sonographically guided corticosteroid injection enables real-time imaging of the plantar fascia during needle insertion. A caudocranial oblique injection beneath the fascia may have an incremental value in the treatment response in patients with plantar fasciosis.
dc.identifier.doi10.7863/jum.2011.30.4.509
dc.identifier.endpage515
dc.identifier.issn0278-4297
dc.identifier.issue4en_US
dc.identifier.pmid21460151
dc.identifier.scopus2-s2.0-79953325111
dc.identifier.scopusqualityQ2
dc.identifier.startpage509
dc.identifier.urihttps://doi.org/10.7863/jum.2011.30.4.509
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5576
dc.identifier.volume30
dc.identifier.wosWOS:000291126800010
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKayhan, Arda
dc.institutionauthorGökay, Nevzat Selim
dc.institutionauthorAlpaslan, Rumeysa
dc.institutionauthorDemirok, Mehmet
dc.institutionauthorGökçe, Alper
dc.language.isoen
dc.publisherAmer Inst Ultrasound Medicine
dc.relation.ispartofJournal of Ultrasound in Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectplantar fasciosis
dc.subjectsonography
dc.subjectsteroid injection
dc.subjecttreatment
dc.subjectLocal Steroid Injection
dc.subjectHeel Pain
dc.subjectFollow-Up
dc.subjectControlled-Trial
dc.subjectFasciitis
dc.subjectUltrasound
dc.subjectDiagnosis
dc.subjectPalpation
dc.subjectEtiology
dc.titleSonographically Guided Corticosteroid Injection for Treatment of Plantar Fasciosis
dc.typeArticle

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