The thickness of heel fat-pad in patients with plantar fasciitis
Objective: The aim of this study was to investigate the thickness of heel fat pad (THP) and to detect the relationship between the plantar fasciitis (PF) and age, occupation, BMI, longitudinal arch, the thickness of heel fat-pad in the patients with PF. Methods: A total of 50 patients (29 women and...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AVES
2019-11-01
|
| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X1930375X |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849397901471514624 |
|---|---|
| author | Oktay Belhan Mehmet Kaya Murat Gurger |
| author_facet | Oktay Belhan Mehmet Kaya Murat Gurger |
| author_sort | Oktay Belhan |
| collection | DOAJ |
| description | Objective: The aim of this study was to investigate the thickness of heel fat pad (THP) and to detect the relationship between the plantar fasciitis (PF) and age, occupation, BMI, longitudinal arch, the thickness of heel fat-pad in the patients with PF. Methods: A total of 50 patients (29 women and 21 men; mean age: 46.5 years (range: 22–70)) that were diagnosed with PF were included to this study. Patients' affected side were compared with the healthy opposite side with the angle of medial arch (AMA) and first metatarsophalangeal angle (FMTPA) on the foot radiograms, and THP and thickness of first metatarsal fat pad (TFMFP) using ultrasonography (USG) of both feet. Results: The mean AMAs of feet with pain and without pain were 122.56° and 120.60°, respectively. The mean FMTPAs of feet with pain and without pain were 14.72° and 14.40°, respectively. The mean THPs of feet with pain at the point of the medial calcaneal tubercle and the mean TFMFPs of the feet with pain at the point of the first metatarsal head were 19.45 mm and 6.75 mm, respectively. The mean THPs of feet without pain at the point of the medial calcaneal tubercle and the mean TFMFPs of the feet without pain at the point of the first metatarsal head were 19.94 mm and 6.75 mm, respectively. It was observed that the mean AMA in the heels with pain was significantly higher than that of the heel without pain (p < 0.05) and the mean THP in the heels with pain was significantly thinner than that of the heel without pain (p < 0.05). Conclusion: The results indicate that USG is an accurate and reliable imaging technique for the measurement of THP in the diagnosis of plantar fasciitis and the heel pad was thinner in the painful heels of patients with plantar fasciitis. Level of evidence: Level III, Diagnostic Study. Keywords: Plantar fasciitis, Heel fat-pad, Ultrasonography, Angle of medial arch, Heel pain |
| format | Article |
| id | doaj-art-fb3d7e564e04469b8f2c49ef97734295 |
| institution | Kabale University |
| issn | 1017-995X |
| language | English |
| publishDate | 2019-11-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj-art-fb3d7e564e04469b8f2c49ef977342952025-08-20T03:38:48ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2019-11-0153646346710.1016/j.aott.2019.07.005The thickness of heel fat-pad in patients with plantar fasciitisOktay Belhan0Mehmet Kaya1Murat Gurger2Department of Orthopaedics and Traumatology, Faculty of Medicine, Firat University, Elazig, Turkey; Corresponding author. Firat University Faculty of Medicine, Department of Orthopaedics and Traumatology, Elazig, Turkey. Tel.: +90 42 4233 3555; fax: +90 42 4238 8096.Department of Orthopaedics and Traumatology, Ministry of Health Fethi Sekin City Hospital, Elazig, TurkeyDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Firat University, Elazig, TurkeyObjective: The aim of this study was to investigate the thickness of heel fat pad (THP) and to detect the relationship between the plantar fasciitis (PF) and age, occupation, BMI, longitudinal arch, the thickness of heel fat-pad in the patients with PF. Methods: A total of 50 patients (29 women and 21 men; mean age: 46.5 years (range: 22–70)) that were diagnosed with PF were included to this study. Patients' affected side were compared with the healthy opposite side with the angle of medial arch (AMA) and first metatarsophalangeal angle (FMTPA) on the foot radiograms, and THP and thickness of first metatarsal fat pad (TFMFP) using ultrasonography (USG) of both feet. Results: The mean AMAs of feet with pain and without pain were 122.56° and 120.60°, respectively. The mean FMTPAs of feet with pain and without pain were 14.72° and 14.40°, respectively. The mean THPs of feet with pain at the point of the medial calcaneal tubercle and the mean TFMFPs of the feet with pain at the point of the first metatarsal head were 19.45 mm and 6.75 mm, respectively. The mean THPs of feet without pain at the point of the medial calcaneal tubercle and the mean TFMFPs of the feet without pain at the point of the first metatarsal head were 19.94 mm and 6.75 mm, respectively. It was observed that the mean AMA in the heels with pain was significantly higher than that of the heel without pain (p < 0.05) and the mean THP in the heels with pain was significantly thinner than that of the heel without pain (p < 0.05). Conclusion: The results indicate that USG is an accurate and reliable imaging technique for the measurement of THP in the diagnosis of plantar fasciitis and the heel pad was thinner in the painful heels of patients with plantar fasciitis. Level of evidence: Level III, Diagnostic Study. Keywords: Plantar fasciitis, Heel fat-pad, Ultrasonography, Angle of medial arch, Heel painhttp://www.sciencedirect.com/science/article/pii/S1017995X1930375X |
| spellingShingle | Oktay Belhan Mehmet Kaya Murat Gurger The thickness of heel fat-pad in patients with plantar fasciitis Acta Orthopaedica et Traumatologica Turcica |
| title | The thickness of heel fat-pad in patients with plantar fasciitis |
| title_full | The thickness of heel fat-pad in patients with plantar fasciitis |
| title_fullStr | The thickness of heel fat-pad in patients with plantar fasciitis |
| title_full_unstemmed | The thickness of heel fat-pad in patients with plantar fasciitis |
| title_short | The thickness of heel fat-pad in patients with plantar fasciitis |
| title_sort | thickness of heel fat pad in patients with plantar fasciitis |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X1930375X |
| work_keys_str_mv | AT oktaybelhan thethicknessofheelfatpadinpatientswithplantarfasciitis AT mehmetkaya thethicknessofheelfatpadinpatientswithplantarfasciitis AT muratgurger thethicknessofheelfatpadinpatientswithplantarfasciitis AT oktaybelhan thicknessofheelfatpadinpatientswithplantarfasciitis AT mehmetkaya thicknessofheelfatpadinpatientswithplantarfasciitis AT muratgurger thicknessofheelfatpadinpatientswithplantarfasciitis |