Evaluation of the effectiveness of ultrasound-guided corticosteroid injection treatment in plantar fasciitis using shear wave elastography

IF 3.2 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

European Journal of Radiology Pub Date : 2025-04-05 DOI:10.1016/j.ejrad.2025.112092

Enes Gurun , Mesut Ozturk , Ismet Mirac Cakir , Ahmet Serhat Genc , Ipek Ozkan , Dilara Erdogan , Ahmet Emin Okutan , Omer Bozduman

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引用次数: 0

Abstract

Purpose

To evaluate the effectiveness of ultrasound-guided corticosteroid injection in patients with plantar fasciitis (PF) and assess changes in shear wave elastography (SWE) measurements and clinical outcomes.

Methods

Between March and August 2024, 66 patients (aged 27 to 67 years) diagnosed with PF were enrolled in the study. Plantar fascia thickness, shear wave velocity (SWV) in meters per second (m/s), and Young’s modulus in kilopascals (kPa) were measured before the injection and at a 1-month follow-up. The correlation of these measurements with the Visual Analog Scale (VAS, 0–10) and the American Orthopedic Foot and Ankle Society (AOFAS) scores was analyzed.

Results

Before treatment, the plantar fascia thickness, SWV, and Young’s modulus were recorded as 5.02 ± 0.66 mm, 2.37 ± 0.22 m/s, and 18.64 ± 3.28 kPa, respectively. At the 1-month follow-up, these values significantly changed to 3.53 ± 0.39 mm, 3.39 ± 0.32 m/s, and 35.49 ± 7.25 kPa, respectively (p < 0.001 for all). A significant reduction in plantar fascia thickness and a significant increase in SWV and Young’s modulus were observed. Additionally, improvements in VAS and AOFAS scores were strongly correlated with increases in SWV and Young’s modulus (VAS-m/s: r = -0.632, p = 0.011; AOFAS-m/s: r = 0.695, p = 0.001; VAS-kPa: r = −0.673, p < 0.001; AOFAS-kPa: r = 0.798, p < 0.001).

Conclusion

Ultrasound-guided corticosteroid injection significantly increased plantar fascia stiffness, and SWE measurements strongly correlated with clinical improvements. SWE proves to be a valuable adjunctive tool for evaluating treatment response in PF.

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超声引导下皮质类固醇注射治疗足底筋膜炎的效果评价

目的评价超声引导下皮质类固醇注射治疗足底筋膜炎（PF）的疗效，评价剪切波弹性成像（SWE）测量的变化及临床结果。方法：2024年3月至8月，66例确诊为PF的患者（年龄27 ~ 67岁）被纳入研究。在注射前和随访1个月时测量足底筋膜厚度、剪切波速（SWV）（米/秒（m/s））和杨氏模量（kPa）。分析这些测量结果与视觉模拟量表（VAS, 0-10）和美国骨科足踝学会（AOFAS）评分的相关性。结果治疗前足底筋膜厚度为5.02±0.66 mm， SWV为2.37±0.22 m/s，杨氏模量为18.64±3.28 kPa。随访1个月后，这些数值分别为3.53±0.39 mm、3.39±0.32 m/s和35.49±7.25 kPa (p <；0.001)。观察到足底筋膜厚度显著减少，SWV和杨氏模量显著增加。此外，VAS和AOFAS评分的改善与SWV和杨氏模量的增加密切相关(VAS-m/s: r = -0.632, p = 0.011；AOFAS-m/s: r = 0.695, p = 0.001；VAS-kPa: r = - 0.673, p <；0.001;AOFAS-kPa: r = 0.798, p <；0.001)。结论超声引导下皮质类固醇注射可显著提高足底筋膜硬度，SWE测量结果与临床改善密切相关。SWE被证明是评估PF治疗反应的一个有价值的辅助工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.