ABSTRACT
Background@#Plantar fasciitis is a common cause of heel pain affecting 10% of the general population. This study aimed to investigate the specific symptoms in patients with plantar fasciitis using the Foot and Ankle Outcome Score (FAOS) questionnaire and their relationship with demographic and radiographic factors. @*Methods@#We retrospectively analyzed 73 consecutive patients (mean age, 53.8 ± 10.0 years; 20 men and 53 women) with plantar fasciitis who had visited our foot and ankle clinic and undergone weight-bearing foot X-ray examinations. Their demographic data, anteroposterior and lateral talo-first metatarsal angles, intermetatarsal and hallux valgus angles, and responses to the FAOS questionnaire were recorded. @*Results@#The quality-of-life subscale showed the lowest score of all FAOS subscales. Age was significantly correlated with quality of life (r = 0.297, p = 0.011), and body mass index was correlated with the function in sports and recreational activities (r = –0.251, p = 0.032). Age and body mass index were statistically significantly correlated with calcaneal spur size (r = 0.274, p = 0.027 and r = 0.324, p = 0.008, respectively). The calcaneal spur size was significantly correlated with pain (r= –0.348, p = 0.004), function in daily living (r = –0.410, p = 0.001), and function in sports and recreational activities (r= –0.439, p < 0.001). @*Conclusions@#Demographic factors were associated with specific symptoms in patients with plantar fasciitis. Calcaneal spur size was the only radiographic parameter correlated with symptoms. These findings help communicate with patients, set appropriate treatment goals, and evaluate treatment effectiveness.
ABSTRACT
PURPOSE: There have been few reports on the outcome of nerve grafts for radial nerve injury with a large gap. Furthermore, the results of reports are variable. It was the purpose of this study to report our results of nerve grafting for high radial nerve injury with a defect of more than 9 cm. MATERIALS AND METHODS: Five patients with high radial nerve injury were treated by sural nerve autograft. The gap of radial nerve, measured in the operative field, was 9 cm in one patient, 10 cm in three, and 11 cm in one. There were four men and one woman of average age was 35 years. The causes of the injuries were, fracture of the humerus in three patients and surgery-related complications in two. Average delay from injury to operation was 8 months, and average duration of follow up after surgery was 49 months. RESULTS: Overall motor recovery was M5 in two patients, M4 in two, and M2 in one. CONCLUSION: Good motor recovery can be expected in patients with a large gap radial nerve gap, when sural nerve autografts are sutured to areas which have motor fascicles dominantly.
Subject(s)
Female , Humans , Male , Autografts , Follow-Up Studies , Humerus , Outcome Assessment, Health Care , Radial Nerve , Sural Nerve , TransplantsABSTRACT
PURPOSE: Forearm lengths in cases of unilateral congenital radioulnar synostosis, were analysed radiographically to evaluate the amount of length discrepancy according to different types. MATERIALS AND METHODS: We measured the ulnar length ratio (length of affected forearm/length of unaffected forearm) in 15 cases of uni-lateral congenital radioulnar synostosis. We observed two distinct radiographic patterns. Type I (Lamda type) appeared to be of gamma character grossly, and showed severe radial bowing and a severely hypoplastic radial head. Type II (Chi type) seemed x like in character, showed mild radial bowing and a mildly hypoplastic, or normal radial head. RESULTS: Nine cases were type I and 6 were type II. The ulnar length ratio was 0.89 in type I and 0.98 in type II. Significant differences were formed in the ulnar length ratios between normal subject and type I, and between type I and type II (p<0.05). The equation determined by simple linear regression analysis in a patient of type I, who had been followed for 10 years, was'ulnar length ratio=0.959-0.013 X age (year)'. CONCLUSION: Unilateral congenital radioulnar synostosis can be classified into two types according to radiological morphology. This classification can be helpful in the prediction of forearm length discrepancy, and in the determination of surgical treatment type.