https://youtube.com/shorts/ma7polH-Rs8
Core Concept
Plantar fasciitis and Haglund’s syndrome are distinct but biomechanically related causes of heel pain due to chronic calcaneal stress.
Imaging differentiates inferior plantar fascial enthesopathy from posterosuperior calcaneal–Achilles insertion pathology.
Plantar Fasciitis – Imaging
Location: Inferomedial calcaneal tuberosity
- Radiographs: Often normal; inferior calcaneal spur reflects chronic traction but is not diagnostic
- Ultrasound: Plantar fascia thickening (>4 mm), hypoechoic change, possible perifascial edema
- MRI: Fusiform thickening of proximal plantar fascia with T2/STIR high signal ± inferior calcaneal marrow edema
Haglund’s Syndrome – Imaging
Definition: Haglund deformity + retrocalcaneal/retro-Achilles bursitis + insertional Achilles tendinopathy
- Radiographs: Posterosuperior calcaneal prominence (“pump bump”), abnormal pitch/Fowler-Phillip–type angles
- Ultrasound: Bony prominence impinging on Achilles, thickened degenerative distal tendon, distended bursae
- MRI: Posterosuperior calcaneal osseous prominence with marrow edema, bursitis, insertional Achilles tendinosis or partial tear
Key Differentiation
- Plantar fasciitis: Inferior plantar fascia enthesis
- Haglund’s syndrome: Posterosuperior calcaneus and Achilles insertion
MRI distinguishes these entities by precise localization, even with overlapping heel pain.
#PlantarFasciitis #HaglundsSyndrome #HeelPain #FootMRI #AnkleMRI #MSKRadiology #AchillesTendinopathy #RadiologyEducation #DrSlothic
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