Imaging study of the painful heel syndrome

Journal Article · Mon Jun 01 00:00:00 EDT 1987 · Foot Ankle; (United States)

DOI:https://doi.org/10.1177/107110078700700607· OSTI ID:6124957

Williams, P L; Smibert, J G; Cox, R; Mitchell, R; Klenerman, L

A total of 45 patients with the painful heel syndrome without evidence of an associated inflammatory arthritis, seven of whom had pain in both heels, were studied using technetium-99 isotope bone scans and lateral and 45 degrees medial oblique radiographs of both feet. Of the 52 painful heels 31 (59.6%) showed increased uptake of tracer at the calcaneum. Patients with scans showing increased uptake tended to have more severe heel pain and responded more frequently to a local hydrocortisone injection. On plain x-ray, 39 of 52 painful heels (75%) and 24 of the 38 opposite nonpainful heels (63%) showed plantar spurs, compared with five of 63 (7.9%) heels in 59 age- and sex-matched controls. No evidence of stress fractures was seen.

• Research Organization: Northwick Park Hospital, Harrow, Middlesex, England
• OSTI ID: 6124957
• Journal Information: Foot Ankle; (United States), Vol. 7:6
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
SKELETAL DISEASES
DIAGNOSIS
SKELETON
BIOMEDICAL RADIOGRAPHY
RADIOISOTOPE SCANNING
FEET
HYDROCORTISONE
PAIN
PATIENTS
TECHNETIUM 99
ADRENAL HORMONES
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
BODY AREAS
CORTICOSTEROIDS
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DISEASES
GLUCOCORTICOIDS
HOURS LIVING RADIOISOTOPES
HYDROXY COMPOUNDS
INTERMEDIATE MASS NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
KETONES
LEGS
LIMBS
MEDICINE
NUCLEAR MEDICINE
NUCLEI
ODD-EVEN NUCLEI
ORGANIC COMPOUNDS
ORGANS
PREGNANES
RADIOISOTOPES
RADIOLOGY
STEROIDS
SYMPTOMS
TECHNETIUM ISOTOPES
YEARS LIVING RADIOISOTOPES
550601* - Medicine- Unsealed Radionuclides in Diagnostics
550602 - Medicine- External Radiation in Diagnostics- (1980-)