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Corresponding Author

Fawzy Ezz Mohammed, Ibrahim

Document Type

Original Article

Abstract

ABSTRAC. Background : Hindfoot is frequently injured either duo to trauma, overuse or inflammatory processes. Different diagnoses unfortunately tend to have overlapping clinical signs and symptoms. So, clinicians tend to rely on imaging. Ultrasonography (US) has many benefits for evaluating hindfoot pain. Aim of the study: To review the prevalence of etiologies in patients with hindfoot pain by musculoskeletal ultrasound. Patient and methods: This study included one hundred (100) patients complaining of unilateral or bilateral hindfoot pain ranging in age from 16 to 65 years with no sex specification, excluding patients with chronic rheumatological inflammatory diseases, diabetes mellitus, major ankle trauma, previous foot surgery and any foot or lower limp deformity. All patients were subjected to careful history taking, clinical examination, laboratory investigations and X ray imaging for ankle and foot, giving provisional diagnosis; followed by real-time high resolution ultrasonography for the affected hind foot. Results: By high-resolution ultrasonography for the affected hindfoot of our patients, 181 different lesions were detected, tendon lesions were the commonest lesions detected, with 63 lesions (35%) followed by 59 lesions (32%) for joint & synovial lesions, 31(17%) for planter fascia lesions, 12(7%) for ligament lesions, 9(5%) for Bursal lesions and 7(4%) for subcutaneous lesions. Of these all lesions, 29 lesions (16%) were not clinically suspected. Conclusion: Ultrasonography is an ideal method for testing patients with hindfoot pain and are highly capable of identifying a wide variety of pathologies, some of which may not be clinically identified.

Keywords

Hindfoot; Ultrasound; Ankle pain

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