Abstract
Plantar heel pain is a common disabling condition in adults. Biomechanical factors
are important in the development of plantar heel pain. Quantitative changes in rearfoot
alignment in patients with plantar heel pain have not been previously investigated.
From April 2016 to March 2017, 100 patients with plantar heel pain and 100 healthy
individuals were recruited. The foot posture index was used for the measurement of
foot alignment. The generalized joint hypermobility condition was assessed using the
Beighton scale. The transverse plane talocalcaneal angle, calcaneocuboid angle, talonavicular
uncovering angle, calcaneal inclination angle (CIA), talar declination angle, talar–first
metatarsal angle, and sagittal talocalcaneal angle were measured on standard weightbearing
anteroposterior and lateral foot radiographs. The body mass index was recorded electronically.
The distribution of sex, age, weight, body mass index, side, foot posture index score,
and Beighton scale were comparable between groups (p > .05). The mean calcaneocuboid angle (p = .009), talonavicular uncovering angle (p = .000), CIA (p = .000), talar declination angle (p = .039), and talar–first metatarsal angle (p = .000) were significantly higher in the plantar heel pain group. In conclusion,
our study has demonstrated a relationship between chronic plantar heel pain and the
CIA.
Level of Clinical Evidence
Keywords
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Article info
Footnotes
Financial Disclosures: None reported.
Conflict of Interest: None reported.
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© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
