대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제19권4호
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  • Pages.188-192
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  • 2015
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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한국인의 발꿈치 패드 두께의 분석

Analysis of Heel Pad Thickness in Korean

  • 김용진 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 정형외과, 의생명연구원) ;
  • 김형직 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 정형외과, 의생명연구원) ;
  • 이광복 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 정형외과, 의생명연구원)
  • Kim, Yong-Jin (Department of Orthopedic Surgery, Chonbuk National University Medical School, Department of Orthopedic Surgery and Biomedical Research Institute, Chonbuk National University Hospital) ;
  • Kim, Hyeong-Jik (Department of Orthopedic Surgery, Chonbuk National University Medical School, Department of Orthopedic Surgery and Biomedical Research Institute, Chonbuk National University Hospital) ;
  • Lee, Kwang-Bok (Department of Orthopedic Surgery, Chonbuk National University Medical School, Department of Orthopedic Surgery and Biomedical Research Institute, Chonbuk National University Hospital)
  • 투고 : 2015.05.21
  • 심사 : 2015.11.06
  • 발행 : 2015.12.15
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초록

Purpose: The purpose of this study is to provide Korean data on heel pad thickness according to age, gender, underlying disease, occupation, and body mass index (BMI). Materials and Methods: A retrospective study was conducted on 670 patients who underwent foot lateral plain radiography and magnetic resonance imaging (MRI) between January 2010 and July 2014. Through measurements of heel pad thickness, the usefulness and accuracy of foot lateral plain radiography was evaluated, and the mean Korean heel pad thickness in the weight-bearing and non-weight-bearing conditions was also evaluated according to age, gender, underlying disease, occupation, and BMI. Results: The 670 subjects with a mean age of 44 years (range, 12 to 84 years) consisted of 420 males and 250 females. The difference in heel pad thickness between non-weight-bearing foot lateral plain radiography and MRI was 0.69 mm. The heel pad thickness did not show a significant difference with age (p=0.08) and the presence of diabetes (p=0.09). With the increase in the Tegner score, the thickness of the heel pad increased (p=0.035), and subjects with a higher BMI had a thicker heel pad (p=0.03). The compressibility of the heel pad thickness showed no correlation with gender, diabetes, and Tegner score. Compressibility also increased with the increase in age and body weight. Conclusion: The mean Korean heel pad thickness measured through non-weight-bearing foot lateral plain radiography was 18.79 mm. The heel pad thickness increased with increasing BMI; however, age and diabetes did not show significant correlation. The compressibility of heel pad increased with the increase in age.

키워드

참고문헌

  1. Karr SD. Subcalcaneal heel pain. Orthop Clin North Am. 1994; 25:161-75.
  2. Buschmann WR, Jahss MH, Kummer F, Desai P, Gee RO, Ricci JL. Histology and histomorphometric analysis of the normal and atrophic heel fat pad. Foot Ankle Int. 1995;16:254-8. https://doi.org/10.1177/107110079501600502
  3. Jahss MH, Michelson JD, Desai P, Kaye R, Kummer F, Buschman W, et al. Investigations into the fat pads of the sole of the foot: anatomy and histology. Foot Ankle. 1992;13:233-42. https://doi.org/10.1177/107110079201300502
  4. Hill JJ Jr, Cutting PJ. Heel pain and body weight. Foot Ankle. 1989;9:254-6. https://doi.org/10.1177/107110078900900509
  5. Prichasuk S, Mulpruek P, Siriwongpairat P. The heel-pad compressibility. Clin Orthop Relat Res. 1994;(300):197-200.
  6. Prichasuk S, Subhadrabandhu T. The relationship of pes planus and calcaneal spur to plantar heel pain. Clin Orthop Relat Res. 1994;(306):192-6.
  7. Rome K, Campbell R, Flint A, Haslock I. Heel pad thickness: a contributing factor associated with plantar heel pain in young adults. Foot Ankle Int. 2002;23:142-7. https://doi.org/10.1177/107110070202300211
  8. Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;(198):43-9.
  9. Turgut A, Gokturk E, Kose N, Seber S, Hazer B, Gunal I. The relationship of heel pad elasticity and plantar heel pain. Clin Orthop Relat Res. 1999;(360):191-6.
  10. Steinbach HL, Russell W. Measurement of the heel-pad as an aid to diagnosis of acromegaly. Radiology. 1964;82:418-23. https://doi.org/10.1148/82.3.418
  11. Gooding GA, Stess RM, Graf PM, Moss KM, Louie KS, Grunfeld C. Sonography of the sole of the foot. Evidence for loss of foot pad thickness in diabetes and its relationship to ulceration of the foot. Invest Radiol. 1986;21:45-8. https://doi.org/10.1097/00004424-198601000-00008
  12. Kuhns JG. Changes in elastic adipose tissue. J Bone Joint Surg Am. 1949;31A:541-7.
  13. Waldecker U, Lehr HA. Is there histomorphological evidence of plantar metatarsal fat pad atrophy in patients with diabetes? J Foot Ankle Surg. 2009;48:648-52. https://doi.org/10.1053/j.jfas.2009.07.008
  14. Robertson DD, Mueller MJ, Smith KE, Commean PK, Pilgram T, Johnson JE. Structural changes in the forefoot of individuals with diabetes and a prior plantar ulcer. J Bone Joint Surg Am. 2002; 84:1395-404. https://doi.org/10.2106/00004623-200208000-00015
  15. Snook GA, Chrisman OD. The management of subcalcaneal pain. Clin Orthop Relat Res. 1972;82:163-8.
  16. Miller WE. The heel pad. Am J Sports Med. 1982;10:19-21. https://doi.org/10.1177/036354658201000105
  17. Jorgensen U. Achillodynia and loss of heel pad shock absorbency. Am J Sports Med. 1985;13:128-32. https://doi.org/10.1177/036354658501300209