Uncovering the depths of myofascial infection: A clinico-radiological approach

Fascia(e) can be best defined as a complex and intricate system of multi-layered connective tissue surrounding and supporting the musculoskeletal system. The inflammation of fascia, or fasciitis, encompasses a diverse group of infectious and non-infectious conditions involving the fascia, ranging from benign conditions such as plantar fasciitis to life-threatening necrotizing fasciitis (NF). Early and precise diagnosis is crucial due to overlapping clinical presentations. Imaging modalities including radiograph, ultrasound, computed tomography, and magnetic resonance imaging (MRI) play essential roles in the accurate diagnosis, staging, and monitoring of these conditions, with MRI being the single best imaging modality. This comprehensive review paraphrases current literature, discussing the diagnostic accuracy and practical utility of each modality, emphasizing key imaging findings, with a particular focus on NF.