• Arch Orthop Trauma Surg · May 2009

    Randomized Controlled Trial Comparative Study

    Comparison of ultrasound-, palpation-, and scintigraphy-guided steroid injections in the treatment of plantar fasciitis.

    • Istemi Yucel, Burhan Yazici, Erdem Degirmenci, Besir Erdogmus, and Semih Dogan.
    • Department of Orthopaedics and Traumatology, Faculty of Medicine, University of Duzce, Duzce, Turkey. istemiyucel@yahoo.com
    • Arch Orthop Trauma Surg. 2009 May 1; 129 (5): 695-701.

    BackgroundThe aim of the study was to compare the efficacies of steroid injections guided by scintigraphy, ultrasonography, and palpation in plantar fasciitis.MethodsA total of 35 heels of 27 patients were randomly assigned to three steroid injection groups: palpation-guided (pg), ultrasound-guided (ug), and scintigraphy-guided (sg). Patients were evaluated for pain intensity before the injections and at the last follow-up of 25.3 months with a 100-mm visual analog scale (VAS).ResultsThere were significant improvements in plantar fascia thickness, fat pad thickness, and VAS. Among the three groups of ug-pg, ug-sg, and pg-sg there were no statistically significant differences after treatment (P = 0.017, MWU = 36.5; P = 0.023, MWU = 29.5; and P = 0.006, MWU = 13, respectively).ConclusionsThe ug, pg, and sg injections were effective in the conservative treatment of plantar fasciitis. We are of the opinion that steroid injections should be performed, preferably with palpation or ultrasonographic guidance.

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