HSS Ultrasound of the Month Case 121

Clincial History 36 year old female with plantar foot pain after running.

Ultrasound of the Month – Case 121

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Ultrasound of the Month – Case 121

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Ultrasound of the Month – Case 121

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Diagnosis: Thrombosis of the Lateral Plantar Vein There are two sets of plantar veins, one coursing along the medial half of the foot and the other coursing along the lateral half of the foot together with the respective plantar nerves and arteries, which all traverse the tarsal tunnel.

Thrombosis of the plantar veins is uncommon, but can present with foot pain not unlike plantar fasciitis or a stress fracture.

Either ultrasound or MRI can be used for diagnosis.

Plantar vein thrombosis is typically treated with anticoagulation as there is a risk of propagation to more proximal veins of the deep venous system as well as pulmonary embolism.

Ultrasound of the Month – Case 121

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