Turgut A, Göktürk E, Köse N, Seber S, Hazer B, Günal I
Department of Orthopedics, Osmangazi University Hospital, Meşelik, Eskişehir, Turkey.
Clin Orthop Relat Res. 1999 Mar(360):191-6. doi: 10.1097/00003086-199903000-00023.
Loss of heel pad elasticity has been suggested as one of the possible explanations of plantar heel pain. This hypothesis is evaluated by this blinded observer prospective study, using an age and weight matched control population. Hindfoot lateral radiographs of 73 patients with plantar heel pain, 29 of whom had bilateral involvement (102 feet), and who ranged in age from 20 to 60 years, were studied and compared with 120 healthy subjects (240 feet). Heel pad thickness and heel pad compressibility index were not significantly different in patients with plantar heel pain than in healthy subjects matched for age and weight. In patients with unilateral heel pain, heel pad thickness and heel pad compressibility index on the painful side were not significantly different from the opposite painless side. The contribution of the heel pad elasticity measured as a visual compressibility index for plantar heel pain is a matter of debate.
足跟垫弹性丧失被认为是足底足跟痛的可能原因之一。本前瞻性研究由盲法观察者进行，采用年龄和体重匹配的对照人群，对这一假说进行评估。研究了73例足底足跟痛患者的后足侧位X线片，其中29例为双侧受累（共102只足），年龄在20至60岁之间，并与120名健康受试者（240只足）进行比较。足底足跟痛患者的足跟垫厚度和足跟垫压缩指数与年龄和体重匹配的健康受试者相比无显著差异。在单侧足跟痛患者中，患侧的足跟垫厚度和足跟垫压缩指数与对侧无痛侧无显著差异。以视觉压缩指数衡量的足跟垫弹性对足底足跟痛的影响仍存在争议。
