5-step protocol for a targeted ultrasound of a plantar fibroma in the foot

What pathology comes to mind when your patient presents with a palpable #lump on the arch of their foot?
💡This finding is typically consistent with a plantar fibroma, which is a #benign fibrous nodule embedded in the #plantar_fascia. The plantar fascia is superficial in the #arch of the foot, making it easy to feel these #growths. They may eventually cause discomfort when walking.
Let’s ease back into the work week after a long holiday weekend with a simple 5-step #protocol for imaging plantar #fibromas in the foot.
What images should be obtained for this targeted #foot exam?
1️⃣ Locate and image the
#fibroma in the long
and short axis using
grayscale imaging.
2️⃣Label the surrounding
structures in the image to
document the location of
these lesions. Fibromas are
most commonly found
continuous with the
#central_cord of the plantar
fascia, but can also be found
along the #medial_cord.
3️⃣Measure the fibroma in the
long and short axis (3
images).
4️⃣Use power #doppler to
assess the fibroma for any
vascularity present.
5️⃣Use the extended field of
view feature to measure the
distance of the fibroma
from the #calcaneus, where
the plantar fascia inserts.
💡When multiple fibromas are
present, number each lump
palp 1, palp 2, etc… You may
also incidentally come across
these #nodules during your
plantar fascia protocol, in
which case they should be
assessed and documented in
the same way they are
for a targeted exam.
#tuesdaytipswithjamie #skillshare #plantarfibromatosis #ultrasound #msk #mskultrasound #ultrasoundtech
#radiology #sonography #sonographer #ortho #podiatry #podiatrist #sportsmedicine #like #share