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IMAGING FOR RESIDENTS QUIZ Table of Contents  
Ahead of print publication
A woman with posterior heel pain


1 Department of Physical Medicine and Rehabilitation, Lo-Hsu Medical Foundation, Inc., Lotung Poh-Ai Hospital, Yilan City, Taiwan
2 Department of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University Hospital, National Taiwan University; Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch; Center for Regional Anesthesia and Pain Medicine, Wang-Fang Hospital, Taipei Medical University, Taipei, Taiwan
3 Department of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University Hospital, National Taiwan University; Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan
4 Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey

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Date of Submission19-May-2022
Date of Decision30-Jun-2022
Date of Acceptance04-Jul-2022
Date of Web Publication22-Sep-2022
 


How to cite this URL:
Lin TY, Chang KV, Wu WT, Özçakar L. A woman with posterior heel pain. J Med Ultrasound [Epub ahead of print] [cited 2023 Mar 22]. Available from: http://www.jmuonline.org/preprintarticle.asp?id=356719





  Section 1 – Quiz Top


Case

A 49-year-old female presented to the clinic with progressive left posterior heel pain for the last 1 month. The pain had worsened substantially during activity. She had a regular exercise habit of running twice per week. There was neither antecedent trauma nor any prior surgery of the affected limb. No history of rheumatic disease was reported either. Upon physical examination, tenderness and mild swelling over the left hind foot were noticed. There was no limitation of ankle range of motion, and Thompson test was negative on the affected side. [Figure 1] shows the lateral radiograph of her left foot. An ultrasound examination was carried out, and the images of the left foot are presented in [Figure 2]. What is the cause of her foot pain?
Figure 1: Lateral radiograph of the left foot shows an ossicle (arrow) behind the talus

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Figure 2: Ultrasound image of the long (a) and short (b) axes of the left posterior ankle. Side-to-side comparison of Achilles tendons of bilateral feet (c). PTFL: Posterior talofibular ligament

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understands that her name and initials will not be published and due efforts will be made to conceal the identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

This work was funded by the National Taiwan University Hospital, Bei-Hu Branch; the Ministry of Science and Technology (MOST 106-2314-B-002-180-MY3 and 109-2314-B-002-114-MY3); and the Taiwan Society of Ultrasound in Medicine.

Conflicts of interest

Prof. Ke-Vin Chang, an editorial board member at Journal of Medical Ultrasound, had no role in the peer review process of or decision to publish this article. The other authors declared no conflicts of interest in writing this paper.



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Correspondence Address:
Ke-Vin Chang,
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei Hu Branch and National Taiwan University College of Medicine, Taipei
Taiwan
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Source of Support: None, Conflict of Interest: None



    Figures

  [Figure 1], [Figure 2]



 

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