Koc University Hospital, Department of Orthopaedic and Traumatology, Istanbul, Turkey.
Ankara City Hospital, Department of Radiology, Ankara, Turkey.
Foot Ankle Surg. 2021 Jun;27(4):457-462. doi: 10.1016/j.fas.2020.06.003. Epub 2020 Jun 15.
The measurement of plantar fascia thickness with ultrasonography can be used for both for diagnosis and as a response-to-treatment parameter in plantar fasciitis. Furthermore, with the recent studies, red cell distribution width may be used as an inflammatory marker. Aim of this study is to investigate the association of red cell distribution width and ultrasonography on diagnosis and monitoring of treatment in patients with plantar fasciitis.
Clinically diagnosed 102 patients with plantar fasciitis between the dates January 2016 to July 2018 were analysed. Hemogram, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and plantar fascial ultrasonography were obtained on initial evaluation and in 1 month, 2 months and 3 months of the standard nonoperative treatment; American Orthopaedic Foot & Ankle Hindfoot Score (AOFAS) and Visual Analog Scale (VAS) scores were recorded. Posthoc and multivariate logistic regression analysis were used for statistical analysis on SPSS 21.0.
Red cell distribution width was correlated with plantar fascia thickness by the end of the 1 month (r=0.26, P=.013). Female sex, BMI over 30kg/m, higher red cell distribution width and higher plantar fascia thickness were associated with plantar fasciitis on initial evaluation. Higher red cell distribution width together with higher plantar fascia thickness were also found to be a risk factor for both on initial evaluation and 1 month after treatment in plantar fasciitis.
This study shows that association of red cell distribution width and plantar fascia thickness can be not only a diagnostic predictor but also an indicator of treatment response in plantar fasciitis.
Level IV.
超声测量足底筋膜厚度可用于足底筋膜炎的诊断和治疗反应参数。此外，最近的研究表明，红细胞分布宽度可作为炎症标志物。本研究旨在探讨红细胞分布宽度与超声在足底筋膜炎患者诊断和治疗监测中的相关性。
分析了 2016 年 1 月至 2018 年 7 月期间临床诊断为足底筋膜炎的 102 例患者。在初始评估时以及标准非手术治疗后 1 个月、2 个月和 3 个月时，获得了血常规、红细胞沉降率（ESR）、C 反应蛋白（CRP）和足底筋膜超声检查结果；记录了美国矫形足踝协会后足评分（AOFAS）和视觉模拟评分（VAS）。在 SPSS 21.0 上进行了事后和多变量逻辑回归分析。
红细胞分布宽度与治疗 1 个月时的足底筋膜厚度相关（r=0.26，P=.013）。在初始评估时，女性、BMI 超过 30kg/m2、较高的红细胞分布宽度和较高的足底筋膜厚度与足底筋膜炎有关。较高的红细胞分布宽度和较高的足底筋膜厚度在初始评估和治疗 1 个月后也被发现是足底筋膜炎的危险因素。
本研究表明，红细胞分布宽度与足底筋膜厚度的相关性不仅可以作为诊断预测指标，也可以作为足底筋膜炎治疗反应的指标。
IV 级。
