Diagnosis and treatment of heel pain in chronic inflammatory arthritis using ultrasound.

Abstract:

:The authors examined the role of ultrasound (US) in diagnosis and management of heel pain in chronic inflammatory arthritis. Nineteen patients underwent US examination. Eight patients (2 with previously unsuccessful nonguided injections), had 11 US-guided corticosteroid injections for treatment of retrocalcaneal bursitis (n = 6), plantar fasciitis (n = 3), and posterior tibial tenosynovitis (n = 2). US-demonstrated Achilles tendon rupture (n = 2), Achilles tendinitis (n = 8), posterior tibial tenosynovitis (n = 6), peroneus longus tenosynovitis (n = 2), retrocalcaneal bursitis (n = 13), and plantar fasciitis (n = 4). Loss of smooth bone contour (n = 13) correlated with bone erosions on plain radiographs in all but one case. Ten of 11 guided injections resulted in full resolution of heel pain. The diverse causes of heel pain are highlighted, and the ability of US to provide information with management implications is confirmed. US-guided corticosteroid injection is beneficial, especially after failure of nonguided injection.

journal_name

Semin Arthritis Rheum

authors

Cunnane G,Brophy DP,Gibney RG,FitzGerald O

doi

10.1016/s0049-0172(96)80003-5

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

383-9

issue

6

eissn

0049-0172

issn

1532-866X

pii

S0049-0172(96)80003-5

journal_volume

25

pub_type

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