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Plantar Fasciitis and Fascial Rupture: MR Imaging Findings in 26 Patients Supplemented with Anatomic Data in Cadavers¹

¹ From the Department of Radiology, School of Medicine, University of California San Diego (D.J.T., S.J.T., Y.K., N.L., G.E.G., D.R.); and the Department of Radiology, Hôpital Pitié-Salpêtrière, Paris, France (B.R.). Presented as a scientific exhibit at the 1999 RSNA scientific assembly. Received March 2, 2000; revision requested April 11 and received May 18; accepted June 2. Supported in part by grant SA-360 from the U.S. Veterans Administration and educational grant U-033 from the A. S. Onassis Public Benefit Foundation. Address correspondence to D.R., Department of Radiology (114), Veterans Affairs Medical Center, 3350 La Jolla Village Dr, San Diego, CA 92161.

Understanding of the normal anatomy of the plantar aponeurosis (PA) and familiarity with pathologic conditions are required for an accurate evaluation of the patient with subcalcaneal heel pain. In this study, we evaluated the diagnostic capabilities of magnetic resonance (MR) imaging in the assessment of the PA with close anatomic correlation. Herein, we describe the MR imaging features of plantar fasciitis and fascial rupture in 26 patients. High-spatial-resolution MR imaging was performed in four cadaveric feet, and a prescribed imaging plane was used for depiction of the peroneal component of the PA. MR imaging delineated the anatomy of the PA and perifascial soft tissues. The peroneal component was best visualized in prescribed sagittal oblique images. Perifascial edema was the most common finding of plantar fasciitis, and it was remarkable in those cases with acute fascial rupture. MR imaging reliably delineated the anatomy of the PA and may allow precise localization and definition of the extent of involvement in disease processes.

Index Terms: Fasciitis, 46.24 • Foot, abnormalities, 46.24 • Foot, MR, 46.121411, 46.121412, 46.121413, 46.12143

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