AYAĞIN MORFOMETRİK ÖZELLİKLERİNE GÖRE PLANTAR FASYA KALINLIĞININ DEĞERLENDİRİLMESİ

Year 2024, Volume: 25 Issue: 3, 295 - 299, 18.07.2024

Sinan Bakırcı , Mahmut Çay , Ali Yavuz Karahan

https://doi.org/10.18229/kocatepetip.1347953

Abstract

AMAÇ: Çalışmamızda plantar fasya kalınlığı ile ayak morfometrik değerleri ve Aşil tendonu kalınlığı arasındaki ilişkinin incelenmesi amaçlandı.
GEREÇ VE YÖNTEM: Araştırma, aktif düzenli spor yapmayan genç gönüllüler üzerinde gerçekleştirildi. Toplamda 64 ayakta (17 erkek, 15 kadın) morfometrik ölçümler yapıldı. Ultrason görüntüsündeki plantar fasyanın kalınlığı ölçüldü. Ayak morfometrik değişkenleri olarak ayak uzunluğu, ayak genişliği, topuk genişliği ve ayak bileği çevresi kullanıldı.
BULGULAR: Genç sağlıklı erkek bireylerin %14,7'sinde plantar fasya kalınlığının 4 mm'den fazla olduğu belirlendi. Genç kadın bireylerin tamamında plantar fasya kalınlığının 3,6 mm'den küçük olduğu görüldü. Erkeklerde plantar fasya kalınlığı ile ayak uzunluğu ve ayak bileği çevresi uzunluğu arasında orta derecede pozitif korelasyon olduğu görüldü (p<0,05). Ancak plantar fasya kalınlığı ile ayak genişliği arasında herhangi bir korelasyonun olmaması dikkat çekiciydi. Tüm katılımcılar bir arada değerlendirildiğinde plantar fasya kalınlığı ile ayak uzunluğu, ayak bileği çevresi ve Aşil tendonu kalınlığı arasında orta düzeyde pozitif korelasyon bulunurken, ayak genişliği ve topuk çapı ile zayıf korelasyon bulundu (p<0,001).
SONUÇ: Farklı ırk ve coğrafi koşullara bağlı olarak ayak morfometrisi ve plantar fasya verilerinin literatüre eklenmesi anatomistlere ve antropologlara gerekli karşılaştırmaları yapma olanağı sağlamaktadır. Plantar fasiit tanısını desteklemek için kabul edilen “plantar fasya kalınlığının 4 mm'den büyük olması” hem erkekler hem de kadınlar için ayrı ayrı gözden geçirilmeli ve tartışılmalıdır

Keywords

Plantar fasya, Aşil tendonu, Ayak, Morfoloji

EVALUATION OF PLANTAR FASCIA THICKNESS ACCORDING TO THE MORPHOMETRIC OF THE FOOT

Abstract

OBJECTIVE: In our study, it was aimed to examine the relationship among plantar fascia thickness, foot morphometric values, and Achilles tendon thickness.
MATERIAL AND METHODS: The study was carried out on young volunteers who did not engage in any active regular sports. In total, morphometric measurements were performed on 64 feet (17 men, 15 women). The thickness of the plantar fascia on the ultrasound image was measured. Foot length, foot width, heel width, and ankle circumference were used as foot morphometric variables.
RESULTS: It was determined that the plantar fascia thickness was greater than 4 mm in 14.7% of young healthy male individuals. The plantar fascia thickness was found to be less than 3.6 mm in all young female individuals. In men, plantar fascia thickness was found to be moderately positively correlated with foot length and ankle circumference (p<0.05). However, it was interesting that there was no correlation between plantar fascia thickness and foot width. When all the participants were evaluated together, a moderate positive correlation was found between plantar fascia thickness and foot length, ankle circumference, and Achilles tendon thickness, while a weak correlation was found with foot width and heel diameter (p<0.001).
CONCLUSIONS: The addition of foot morphometry and plantar fascia data to the literature, depending on different racial and geographical conditions, allows anatomists and anthropologists to make necessary comparisons. To support the diagnosis of plantar fasciitis, the accepted “plantar fascia thickness greater than 4 mm” should be reviewed and discussed separately for both men and women.

Keywords

Plantar fascia, Achilles tendon, Foot, Morphology

Thanks

Thanks to those who volunteered for the realization of the work.

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