sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.1121418

Clinical Sciences

Klinik Tıp Bilimleri

EVALUATION OF THE ELASTICITY AND THICKNESS OF THE HEEL FAT PAD WITH ULTRASOUND IN PLANTAR FASCIITIS

PLANTAR FASİİTTE TOPUK FAT PAD ELASTİKİYETİNİN VE KALINLIĞININ ULTRASON İLE DEĞERLENDİRİLMESİ

https://orcid.org/0000-0002-0711-9376

Biçen

Ahmet Çağdaş

IZMIR UNIVERSITY OF ECONOMICS

https://orcid.org/0000-0003-1863-2981

Yıldırım

Utku Mahir

IZMIR UNIVERSITY OF ECONOMICS

https://orcid.org/0000-0001-9576-5994

Unal

Meric

Meddem Hospital Isparta

09 30 2022

29 3 422 428 05 25 2022 07 27 2022

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

ObjectiveThe aim of this study was to evaluate thickness andelasticity of heel fat pad in patients with unilateralplantar fasciitis and to investigate the effects of age,sex, body mass index (BMI), and functional scores onplantar fasciitis.Material and Method70 patients who had been suffering from unilateralplantar fasciitis longer than 6 months were enrolledin the study. The thickness and elasticity of fat padwere compared between the painful and healthy feetof the patients with ultrasound. For measurement ofelasticity, shear wave elastography (SWE) was used.Comparative analysis was performed for thicknessand elasticity variables between the painful andhealthy feet with Mann–Whitney U and independentsamples t-test.ResultsAverage of age of the patients was 44±11.66. Theaverage thickness of the heel fat pad was 17.9±3.1mm on the affected side and 18.3±3.3 mm on thehealthy side. The mean SWE value of the painful sidewas 23.9 m/s (range 9.3-32) and was 24.7 m/s (range10.8-34) on the healthy side. Heel fat pad thicknesswas greater in the healthy feet than in the painful feet,but there was no statistical significance (p=0.448).The painful feet were stiffer, but the difference wasstatistically similar (p=0.347). BMI had a statisticallysignificant impact on thickness of heel fat pad.ConclusionThe results showed that a decrease in the heel fat padthickness was a supporting finding of plantar fasciitisin patients with normal BMI but not in patients withBMI>25.

AmaçBu çalışmanın amacı, tek taraflı plantar fasiitli hastalardatopuk yağ yastığının kalınlığını ve elastikiyetinideğerlendirmek ve yaş, cinsiyet, vücut kitle indeksi(VKİ) ve fonksiyonel skorların plantar fasiit üzerindekietkilerini araştırmaktır.Gereç ve YöntemÇalışmaya 6 aydan uzun süredir tek taraflı plantar fasiitiolan toplam 70 hasta dahil edildi. Hastaların ağrılıve sağlıklı ayakları arasında ultrason ile yağ yastığınınkalınlığı ve elastikiyeti karşılaştırıldı. Elastisite ölçümüiçin Shear Wave Elastografi (SWE) kullanıldı.Fonksiyonel değerlendirme American OrthopaedicFoot and Ankle Society Skoru (AOFAS) ile yapıldı. Ağrılıve sağlıklı taraflar arasında kalınlık ve elastikiyetdeğişkenleri, bağımsız grup t-testi ve Mann-WhitneyU testi kullanılarak karşılaştırıldı.BulgularHastaların yaş ortalaması 44±11.66 idi. Topuk yağyastığının ortalama kalınlığı etkilenen tarafta 17.9±3.1mm ve sağlıklı tarafta 18.3±3.3 mm idi. Ağrılı taraftaortalama SWE değeri 23.9 m/s (9.3-32), sağlıklı tarafta24.7 m/s (10.8-34) idi. Hastaların ortalama AOFASskoru 70 (62-78) idi. Topuk yağ yastığı kalınlığı, sağlıklıayaklarda ağrılı ayaklara göre daha fazlaydı, ancakbu fark istatistiksel olarak anlamlı değildi (p=0,448).Ağrılı ayaklar daha sertti, ancak fark istatistiksel olarakbenzerdi (p=0,347). Ağrılı ve sağlıklı ayaklar arasındakielastikiyet ve kalınlık değerleri cinsiyetten etkilenmemiştir.VKİ, ağrılı ve sağlıklı ayaklar arasındakitopuk yağ yastığı kalınlığı üzerinde istatistiksel olarakanlamlı bir etkiye sahiptir.SonuçTopuk yağ yastığı kalınlığındaki azalma plantar fasiitiçin, VKİ normal olan hastalarda destekleyici birbulgudur ancak VKİ>25 olan hastalarda destekleyicideğildir.

Plantar fasciitis fat pad elasticity shear wave elastography

Plantar fasiit fat pad shear wave elastografi elastisite

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