Publication:
Thickness of plantar fascia is not predictive of functional outcome in plantar fasciitis treatment

dc.contributor.authorErmutlu, Cenk
dc.contributor.authorAksakal, Murat
dc.contributor.authorGümüştaş, Ayşem
dc.contributor.authorKovalak, Emrah
dc.contributor.authorÖzkan, Yüksel
dc.contributor.buuauthorÖzkaya, Güven
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentSağlık Bilimleri Biyoistatistik
dc.contributor.orcid0000-0003-0297-846X
dc.contributor.researcheridA-4421-2016
dc.contributor.scopusid16316866500
dc.date.accessioned2023-11-10T11:01:59Z
dc.date.available2023-11-10T11:01:59Z
dc.date.issued2018-01-09
dc.description.abstractObjective: The aim of this study was to define a quantitative parameter to indicate which cases of plantar fasciitis will benefit from local corticosteroid injection or ESWT and to compare the efficacy of two different treatment modalities. Methods: Seventy patients (mean age: 49.10; range: 41-58) with chronic plantar fasciitis unresponsive to conservative treatment for 3 months were treated with either betamethasone injection or extracorporeal shock wave therapy (ESWT). Correlation between AOFAS scores, fascia thickness, duration of symptoms, age and calcaneal spur length were assessed. Results: Degree of fascial thickening (mean 4.6 mm for all patients) did not influence baseline AOFAS scores (r = -0.054). Plantar fascia thickness significantly decreased in both groups after treatment (1.2 mm for steroid, 1.2 mm for ESWT) (p < 0.01 for both groups). Percentage of change in AOFAS scores (68% for steroid and 79% for ESWT, p = 0.069) and fascial thickness (24% for steroid and 26% for ESWT, p = 0.344) were similar between two groups. Functional recovery was not correlated with baseline fascial thickness (r = 0.047) or degree of fascial thinning after treatment (r = -0.099). Percentage of change in AOFAS scores was correlated only with baseline AOFAS scores (r = -0.943). Conclusions: Plantar fascia thickness increases significantly in plantar fasciitis and responds to treatment. Both ESWT and betamethasone injection are effective in alleviating symptoms and reducing plantar fascia thickness in chronic plantar fasciitis. However, the only predictive factor for functional recovery in terms of AOFAS scores is patients' functional status prior to treatment. Measuring of plantar fascia is not helpful as a diagnostic or prognostic tool and MRI imaging should be reserved for differential diagnosis.
dc.identifier.citationErmutlu, C. vd. (2018). ''Thickness of plantar fascia is not predictive of functional outcome in plantar fasciitis treatment''. Acta Orthopaedica et Traumatologica Turcica, 52(6), 442-446.
dc.identifier.endpage446
dc.identifier.issn1017-995X
dc.identifier.issue6
dc.identifier.pubmed30314878
dc.identifier.scopus2-s2.0-85054461638
dc.identifier.startpage442
dc.identifier.urihttps://doi.org/10.1016/j.aott.2018.01.002
dc.identifier.urihttps://www.aott.org.tr/en/thickness-of-plantar-fascia-is-not-predictive-of-functional-outcome-in-plantar-fasciitis-treatment-133541%5C
dc.identifier.urihttps://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC6318475&blobtype=pdf
dc.identifier.urihttp://hdl.handle.net/11452/34843
dc.identifier.volume52
dc.identifier.wos000455762800008
dc.indexed.scopusScopus
dc.indexed.trdizinTrDizin
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherTürkiye Ortepedi Travmatoloji Derneği
dc.relation.collaborationSanayi
dc.relation.journalActa Orthopaedica et Traumatologica Turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectOrthopedics
dc.subjectPlantar fasciitis
dc.subjectESWT
dc.subjectPrognosis
dc.subjectAOFAS score
dc.subjectShock-wave therapy
dc.subjectPlatelet-rich plasma
dc.subjectCorticosteroid injection
dc.subjectSteroid injection
dc.subjectFollow-up
dc.subjectEfficacy
dc.subjectFasciopathy
dc.subject.emtreeBetamethasone
dc.subject.emtreeGlucocorticoid
dc.subject.emtreeAdult
dc.subject.emtreeConvalescence
dc.subject.emtreeFascia
dc.subject.emtreeFemale
dc.subject.emtreeFoot
dc.subject.emtreeHuman
dc.subject.emtreeInjection
dc.subject.emtreeMale
dc.subject.emtreeMiddle aged
dc.subject.emtreeNuclear magnetic resonance imaging
dc.subject.emtreeOrgan size
dc.subject.emtreePathology
dc.subject.emtreePathophysiology
dc.subject.emtreePlantar fasciitis
dc.subject.emtreeProcedures
dc.subject.emtreePrognosis
dc.subject.emtreeShock wave therapy
dc.subject.emtreeTreatment outcome
dc.subject.meshAdult
dc.subject.meshBetamethasone
dc.subject.meshExtracorporeal shockwave therapy
dc.subject.meshFascia
dc.subject.meshFasciitis, plantar
dc.subject.meshFemale
dc.subject.meshFoot
dc.subject.meshGlucocorticoids
dc.subject.meshHumans
dc.subject.meshInjections
dc.subject.meshMale
dc.subject.meshMagnetic resonance imaging
dc.subject.meshMiddle aged
dc.subject.meshOrgan size
dc.subject.meshPrognosis
dc.subject.meshRecovery of function
dc.subject.meshTreatment outcome
dc.subject.scopusFoot; Heel Spur; Shock Wave Therapy
dc.subject.wosOrthopedics
dc.titleThickness of plantar fascia is not predictive of functional outcome in plantar fasciitis treatment
dc.typeArticle
dc.wos.quartileQ4
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Sağlık Bilimleri Biyoistatistik
local.indexed.atPubMed
local.indexed.atScopus

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