ĐẶC ĐIỂM LÂM SÀNG, X-QUANG VÀ HÌNH ẢNH SIÊU ÂM TRONG BỆNH VIÊM CÂN GAN CHÂN

Abstract

Objectives: To describe the clinical characteristics, radiographic, and ultrasound imaging findings in a group of patients with plantar fasciitis. Subjects: 64 patients diagnosed with plantar fasciitis according to the diagnostic criteria of the American Physical Therapy Association (APTA), recruited at the Musculoskeletal Center of Bach Mai Hospital from August 2024 to May 2025. Methods: A cross-sectional descriptive study. Patients underwent clinical examination, X-ray imaging, and ultrasound of the plantar fascia based on predefined research criteria. Results: Among the study population, 87.5% were female, with a mean age of 54 years at disease onset. A majority of patients (70.3%) were engaged in occupations involving physical labor, particularly those requiring prolonged standing and walking. The mean body mass index (BMI) was 22.8, with 51.5% of patients classified as overweight. Flatfoot deformity was identified in 35.9% of patients, while calcaneal spurs were detected on plain radiographs in 34.4% of cases. On ultrasound examination of the plantar fascia, hypoechogenicity and fascial thickening were observed in 98.4% and 75.0% of patients, respectively. The mean thickness of the plantar fascia was 4.9 mm. Conclusion: Plantar fasciitis is a common condition that causes heel pain, primarily affecting middle-aged women. It is often associated with occupational factors and being overweight. Diagnosis requires a combination of clinical symptoms and ultrasound imaging, whereas the presence of calcaneal spurs on X-ray has limited diagnostic significance.