NORMAL PLANTAR FASCIA THICKNESS IN ADULT
DOI:
https://doi.org/10.21776/ub.mnj.2022.008.01.4Keywords:
Plantar fascia thickness, plantar fasciitis, ultrasoundAbstract
Background: Plantar fasciitis is a common problem caused by thickening of the plantar fascia. The normal plantar fascia thickness ranged between 2-3 mm and it was generally accepted that value more than 4mm was considered pathologic.
Objective: to identify normal plantar fascia thickness in adults using ultrasonography.
Methods: This is a cross sectional study measuring the thickness of plantar fascia in 145 subjects with no history of heel pain. Plantar fascia thickness was measured in both feet using an ultrasound. Age, height and weight were recorded and analysed.
Results: As much as 145 subjects were included in this study. Male to female ratio was 0.7. Mean age was 44 and body mass index (BMI) was mostly within normal range. Plantar fascia thickness in male was 2.71 ± 0.48 mm in right foot, and 2.74 ± 0.47 mm in left foot. Fascia thickness in female was 2.55 ± 0.50 mm in right foot, and 2.57 ± 0.45 mm in left foot. There was a significant plantar fascia thickness difference between male and female (p = 0.035 in right foot, and p=0.04 in left foot). Age, weight and BMI had a significant correlation towards plantar fascia thickness. In multivariate analysis, age and BMI revealed to have a linear correlation to plantar fascia thickness
Conclusion: Age and BMI were found to be the best predictive factor of plantar fascia thickness.
References
Abul K, Ozer D, Sakizlioglu SS, Buyuk AF, Kaygusuz MA. Detection of normal plantar fascia thickness in adults via the ultrasonographic method. Journal of the American Podiatric Medical
Association; 2015. 105(1):8–13. DOI: 10.7547/8750-7315-105.1.8
Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for plantar fasciitis. The Journal of Bone and Joint Surgery-American Volume; 2003. 85(5):872–7. DOI: 10.2106/00004623-200305000-00015
Tahririan MA, Motififard M, Tahmasebi MN, Siavashi B. Plantar fasciitis. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences; 2012. 17(8):799-804. PMID:23798950
Schwartz EN, Su J. Plantar fasciitis: A concise review. The Permanente Journal; 2014. 18(1):e105-7.
DOI: 10.7812/TPP/13-113
Hossain M, Makwana N. “Not Plantar Fasciitisâ€: The differential diagnosis and management of heel pain syndrome. Orthopaedics and Trauma Journal; 2011. 25(3):198–206. DOI: 10.1016/j.mporth.2011.02.003
Young CC, Rutherford DS, Niedfeldt MW. Treatment of plantar fasciitis. American Family Physician; 2001. Feb 1;63(3):467-74, 477-8. PMID: 11272297
Frey C, Zamora J. The Effects of obesity on orthopaedic foot and ankle pathology. Foot & Ankle International; 2007;28(9):996–9.
DOI: 10.3113/FAI.2007.0996
Fuller EA. The windlass mechanism of the foot: A mechanical model to explain pathology. Journal of the American Podiatric Medical Association; 2000. 90(1):35–46. DOI: 10.7547/87507315-90-1-35
Wearing SC, Smeathers JE, Yates B, Sullivan PM, Urry SR, Dubois P. Sagittal movement of the medial longitudinal arch is unchanged in plantar fasciitis. Medicine & Science in Sports & Exercise; 2004. 36(10):1761–7.
DOI: 10.1249/01.mss.0000142297.10881.11
Marnach ML, Ramin KD, Ramsey PS, Song SW, Stensland JJ, An KN. Characterization of the relationship between joint laxity and maternal hormones in pregnancy. Obstetrics & Gynecology; 2003. 101(2):331–5. DOI: 10.1016/s0029-7844(02)02447
Fillipou D, Kalliakmanis A, Triga A, Rizos A, Grigoriadis E. Sport related plantar fasciitis. current diagnostic and therapeutic advances. Folia Medica; 2004. 46(3):56-60. PMID: 15819459
Radwan A, Wyland M, Applequist L, Bolowsky E, Klingensmith H, Virag I. Ultrasonography, an effective tool in diagnosing plantar fasciitis: A systematic review of diagnostic trials. International Journal of Sports Physical Therapy; 2016. 11(5):663-671. PMID: 27757279
Siahaan YMT, Ketaren RJ, Hartoyo V, Tiffani P. The predisposing factors of piriformis syndrome: Study in a referral hospital. MNJ; 2019. 5(2): 76-9.
DOI: 10.21776/ub.mnj.2019.005.02.5
Santoso WM, Rakhmatiar R, Rakhmani AN, Sahidu MG. Comparison of the effectiveness of therapy in hydrodissection injection using ultrasonography guidence between normal saline and triamcinolone in carpal tunnel syndrome patients. MNJ; 2020. 6(1): 5-9. DOI: 10.21776/ub.mnj.2020.006.01.2
Huerta JP, GarcÃa JMA, Matamoros EC, Matamoros JC, MartÃnez TD. Relationship of body mass index, ankle dorsiflexion, and foot pronation on plantar fascia thickness in healthy, asymptomatic subjects. Journal of the American Podiatric Medical Association; 2008. 98(5):379–85.
DOI: 10.7547/0980379
Gadalla DN, Kichouh M, Boulet C, Machiels F, Mey JD, Maeseneer MD. Sonographic evaluation of the plantar fascia in asymptomatic subjects. Journal of the Belgian Society of Radiology; 2014. Jan;97(5):271. DOI: 10.5334/jbr-btr.1326
Bisi-Balogun A, Cassel M, Mayer F. Reliability of various measurement stations for determining plantar fascia thickness and echogenicity. Diagnostics; 2016. 6(2):15. DOI: 10.3390/diagnostics6020015
Dhakal GR, Parajuli NP, Joshi KS, Shrestha R, Sherchan B. Sonographic measurement of normal plantar fascia thickness in healthy nepalese population. Journal of Manmohan Memorial Institute of Health Sciences; 2016. Sep;2:37-44.
DOI: 10.3126/jmmihs.v2i0.15795
Taş S, Bek N, Onur MR, Korkusuz F. Effects of body mass index on mechanical properties of the plantar fascia and heel pad in asymptomatic participants. foot & ankle international; 2017. 38(7):779–84.
DOI: 10.1177/1071100717702463
Leeuwen KDBV, Rogers J, Winzenberg T, Middelkoop MV. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors. British Journal of Sports Medicine; 2015. Jul;50(16):972–81.
DOI: 10.1136/bjsports-2015-094695
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