Clarius Classroom

Ultrasound of the Plantar Fascia

Marc Schmitz

In this video Marc describes the scanner position and technique to assess the plantar fascia with ultrasound.

Specialties: MSK, Podiatry
Applications: MSK
to scan the plant of fasia we're going to do this in two planes a longitudinal plane and a transverse the patient is positioned in a prone position with the foot a little bit outside the table I'm going to place my knee against her forefoot so that there will be a relative dosy flexion in the ankle joint placing the scanner at the level of the origin of the plantasia we can see this Anatomy so we can see the calcal bone right here we're going to observe whether the bone is uh regular so not irregular and that it does not have any pointy edges uh we're going to observe also the planta fasia the planta fasia can be seen right here uh and observe the thickness of the planta fascia but also the echogenicity um also observe that this line is relatively a flat line and that it is not too convex because that would maybe indicate also that uh it would be pathological overlying we can see the uh heel fat pad and the skin and underneath the plantasia we can see the flexor muscles so the plantasia has a certain width so I'm going to scan from medial to lateral in order to see every aspect of this plantasia after I've checked it in longitudinal plane I'm going to rotate the trans ucer to a transverse plane observe the width of the plantasia so here we can see once again the calcal bone with on top of it the hyperic fibers of this plop fascia and then from here on we are going to slide with the transducer to distal until you uh see that the bone is disappearing and now we can observe the plant of fasia right here with its thickness observe again the thickness at every as specs in its width but also the echogenicity and of course also the irregularity of the bone

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