A 48-year-old man with a chronic plantar fascial tear.He had acute extreme pain at the plantar heel when he slammed on the brakes during a traffic accident 2 years ago. Long-axis view of the proximal plantar fascia shows marked thickening, blurred margin, and disruption of the normal fibrillar pattern (arrows). The abnormality of the plantar fascia is most pronounced at 2-3 cm distal to the calcaneal insertion, which is the typical site for a plantar fascial tear.