Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Clin Orthop Surg. 2022 Sep;14(3):458-465. doi: 10.4055/cios21263. Epub 2022 Jul 25.
Plantar fasciitis is a common cause of heel pain affecting 10% of the general population. This study aimed to investigate the specific symptoms in patients with plantar fasciitis using the Foot and Ankle Outcome Score (FAOS) questionnaire and their relationship with demographic and radiographic factors.
We retrospectively analyzed 73 consecutive patients (mean age, 53.8 ± 10.0 years; 20 men and 53 women) with plantar fasciitis who had visited our foot and ankle clinic and undergone weight-bearing foot X-ray examinations. Their demographic data, anteroposterior and lateral talo-first metatarsal angles, intermetatarsal and hallux valgus angles, and responses to the FAOS questionnaire were recorded.
The quality-of-life subscale showed the lowest score of all FAOS subscales. Age was significantly correlated with quality of life ( = 0.297, = 0.011), and body mass index was correlated with the function in sports and recreational activities ( = -0.251, = 0.032). Age and body mass index were statistically significantly correlated with calcaneal spur size ( = 0.274, = 0.027 and = 0.324, = 0.008, respectively). The calcaneal spur size was significantly correlated with pain ( = -0.348, = 0.004), function in daily living ( = -0.410, = 0.001), and function in sports and recreational activities ( = -0.439, < 0.001).
Demographic factors were associated with specific symptoms in patients with plantar fasciitis. Calcaneal spur size was the only radiographic parameter correlated with symptoms. These findings help communicate with patients, set appropriate treatment goals, and evaluate treatment effectiveness.
足底筋膜炎是一种常见的足跟痛病因，影响 10%的普通人群。本研究旨在使用足踝结局评分（FAOS）问卷调查足底筋膜炎患者的具体症状及其与人口统计学和影像学因素的关系。
我们回顾性分析了 73 例连续就诊于足踝门诊、行负重位足部 X 线检查的足底筋膜炎患者（平均年龄 53.8±10.0 岁；男 20 例，女 53 例）的人口统计学资料、跟骨距骨前后位和侧位角、跖骨间角和踇外翻角，以及 FAOS 问卷的应答情况。
FAOS 各亚量表中，生活质量亚量表得分最低。年龄与生活质量显著相关（ = 0.297， = 0.011），体重指数与运动和娱乐活动功能相关（ = -0.251， = 0.032）。年龄和体重指数与跟骨骨刺大小呈统计学显著相关（ = 0.274， = 0.027 和 = 0.324， = 0.008）。跟骨骨刺大小与疼痛（ = -0.348， = 0.004）、日常生活功能（ = -0.410， = 0.001）和运动及娱乐活动功能（ = -0.439， < 0.001）显著相关。
人口统计学因素与足底筋膜炎患者的特定症状相关。跟骨骨刺大小是唯一与症状相关的影像学参数。这些发现有助于与患者沟通，设定适当的治疗目标，并评估治疗效果。
