Namık ŞAHİN, ALPASLAN ÖZTÜRK, TEOMAN ATICI

Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti

Amaç: Çalışmada plantar fasitisli ve normal ayaklarda, yük verme sırasında ayakta oluşan sagittal plandaki radyolojik değişimlerin incelenmesi amaçlanmıştır. Çalışma planı: Çalışma plantar fasitisli toplam 42 olgunun 64 ayağı (Grup 1: 32 kadın, 10 erkek, ortalama yaş 48, dağılım 33-57) ile topuk ağrısı olmayan 40 olgunun 80 ayağını (Grup 2: 30 kadı n, 10 erkek, ortalama yaş 47.2, dağılım 35-56) kapsamaktadır. Ayağa yük vererek ve yük vermeden çekilen lateral ayak grafilerinde kalkaneal inklinasyon açısı (K‹A), kalkaneal-1. metatarsal açı (KMA) ve plantar fasya uzunluğu (PFU) ölçüldü. Grup 1 ve 2’nin değerleri karşılaştırıldı. Sonuçlar: Grup 1’de yük verilmeden çekilen radyografilerde K‹A 26° (dağılım 18-35°), KMA 121° (dağılım 115-133°) ve PFU 131 mm (dağılım 110-158 mm) idi. Grup 2’de yük verilmeden çekilen radyografilerde K‹A 27° (dağılım 17-38°), KMA 122° (dağılım 110-135°) ve PFU 136 mm (dağılım 120-155 mm) olarak saptandı. Grup 1’de yük vererek çekilen radyografilerde K‹A 13.6° (dağılım 5-25°), KMA 138° (dağılım 130-153°) ve PFU 143.8 mm (dağılım 118-158 mm) idi. Grup 2’de yük vererek çekilen radyografilerde K‹A 9.9° (dağılım 4-25°), KMA 145° (dağı- lım 130-155°) ve PFU 151.4 mm (dağılım 137-167 mm) olarak saptandı. Grup 1’de yük vererek ve yük vermeyerek çekilen radyografilerde radyografilerde K‹A, KMA ve PFU değerleri arasındaki fark sırasıyla -12.4°, 17° ve 12.8 mm olup Grup 2’de ise K‹A, KMA ve PFU değerleri arası ndaki fark sırasıyla -17.1°, 23° ve 15.4 mm idi. Değerler gruplar arası karşılaştırıldığında anlamlı farklılık tespit edildi (p

Foot mobility and plantar fascia elasticity in patients with plantar fasciitis

Objectives: In this study, we investigated the radiologic changes of feet in sagittal plane under weightbearing either with or without plantar fasciitis. Methods: The study includes 64 feet of the 42 subjects with heel pain (Group 1: 32 women, 10 men, mean age 48 years, range 33-57 years) and 80 feet of the 40 patients (Group 2: 30 women, 10 men, mean age 47.2 years, range 35-56 years) without heel pain. Calcaneal inclination angle (CIA), calcaneal-first metatarsal angle (CMA), and plantar fascia length (PFL) were measured in the lateral radiographs of the weightbearing and non-weightbearing foot. The values of Group 1 and Group 2 were compared. Results: The mean CIA was 26° (range 18-35°), CMA was 121° (range 115-133°), and PFL was 131 mm (range 110-158 mm) in non-weightbearing position for Group 1. The mean CIA was 27° (range 17-38°), CMA was 122° (range 110-135°), and PFL was 136 mm (range 120-155 mm) in non-weightbearing position for Group 2. The mean CIA was 13.6° (range 5-25°), CMA was 138° (range 130-153°), and PFU was 143.8 mm (range 118-158 mm) in weightbearing position for Group 1. The mean CIA was 9.9° (range 4-25°), CMA was 145° (range 130-155°), and PFU was 151.4 mm (range 137-167 mm) in weightbearing position for Group 2. The difference between CIA, CMA, and PFL values were -13°, 17°, and 12 mm under condition of weightbearing and nonweightbearing position values for Group 1; and -17°, 23°, and 15 mm for Group 2. The differences were significant between weightbearing and non-weightbearing position values (p<0.05). Conclusion: The reduced CIA, CMA, and PFL changes during weight bearing might show reduced foot mobility and plantar fascia elasticity, which may lead to posterior heel pain syndrome.

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