The precision and safety of ultrasound-guided versus palpation-guided needle placement on the plantar fascia and flexor digitorum brevis interface: an anatomical study
Author
Publication date
2024ISSN
2227-9032
Abstract
Background: Evidence suggests the plantar fascia and its interphase with the flexor digitorum brevis muscle can play a relevant role in plantar heel pain. Needling interventions could offer an appropriate treatment strategy to addressing this interface. Objective: We compared the accuracy and safety of ultrasound-guided versus palpation-guided procedures for the proper targeting of the interface between the plantar fascia and the flexor digitorum brevis with a solid needle. Methods: A crossover cadaveric study was conducted. Five experienced therapists performed a series of 20 needle insertions each (n = 100 in total, 10 landmark-guided and 10 ultrasound-guided) on 10 anatomical samples. The therapists were instructed to accurately place the needle on the interface between the plantar fascia and the flexor digitorum brevis muscle. The distance of the tip of the needle to the identified target (accuracy), the surrounding sensitive structures targeted (safety), the time needed for the procedure, the number of needle passes, and the needle length outside the skin were assessed. Results: The ultrasound-guided technique was associated with a significantly higher accuracy (p < 0.001) but without differences in safety (p = 0.249) as compared to the palpation-guided procedure. Conclusion: Our results suggest that ultrasound-guided insertion exhibits greater accuracy but not greater safety than palpation-guided insertion when targeting the interface between the plantar fascia and the flexor digitorum brevis.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
616.3 - Pathology of the digestive system. Complaints of the alimentary canal
Keywords
Fàscia plantar
Ecografia
Agulla
Interfase
Precisió
Seguretat
Cadàver
Fascia plantar
Ultrasonido
Punción
Interfase
Exactitud
Seguridad
Cadáver
Plantar fascia
Ultrasound
Needling
Interphase
Accuracy
Safety
Cadaver
Pages
10
Publisher
Healthcare
Collection
12; 10
Is part of
Healthcare
Citation
Malo Urriés, Miguel; Borrella Andrés, Sergio; López-de-Celis, Carlos [et al.]. The precision and safety of ultrasound-guided versus palpation-guided needle placement on the plantar fascia and flexor digitorum brevis interface: an anatomical study. Healthcare, 2024, 12(10), 1000. Disponible en: <https://www.mdpi.com/2227-9032/12/10/1000>. Fecha de acceso: 24 may. 2024. DOI: 10.3390/healthcare12101000
This item appears in the following Collection(s)
- Odontologia [245]
Rights
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/