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Ultrasound evaluation of foot muscles and plantar fascia in pes planus

机译:超声评估阴茎扁平足肌和足底筋膜

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Background: Multiple intrinsic and extrinsic soft tissue structures that apply forces and support the medial longitudinal arch have been implicated in pes planus. These structures have common functions but their interaction in pes planus is not fully understood. The aim of this study was to compare the cross-sectional area (CSA) and thickness of the intrinsic and extrinsic foot muscles and plantar fascia thickness between normal and pes planus feet. Methods: Forty-nine adults with a normal foot posture and 49 individuals with pes planus feet were recruited from a university population. Images of the flexor digitorum longus (FDL), flexor hallucis longus (FHL), peroneus longus and brevis (PER), flexor hallucis brevis (FHB), flexor digitorum brevis (FDB) and abductor hallucis (AbH) muscles and the plantar fascia were obtained using a Venue 40 ultrasound system with a 5-13. MHz transducer. Results: The CSA and thickness of AbH, FHB and PER muscles were significantly smaller (AbH -12.8% and -6.8%, FHB -8.9% and -7.6%, PER -14.7% and -10%), whilst FDL (28.3% and 15.2%) and FHL (24% and 9.8%) were significantly larger in the pes planus group. The middle (-10.6%) and anterior (-21.7%) portions of the plantar fascia were thinner in pes planus group. Conclusion: Greater CSA and thickness of the extrinsic muscles might reflect compensatory activity to support the MLA if the intrinsic foot muscle function has been compromised by altered foot structure. A thinner plantar fascia suggests reduced load bearing, and regional variations in structure and function in feet with pes planus.
机译:背景:扁平肌涉及多个施加力并支撑内侧纵弓的内在和外在软组织结构。这些结构具有共同的功能,但是它们在平面内的相互作用尚不完全清楚。这项研究的目的是比较正常脚和平足脚之间的内在和外在脚部肌肉的横截面积(CSA)和厚度以及足底筋膜厚度。方法:从大学人群中招募四十九名成年人,这些成年人的脚姿均正常,而有49名扁平足的人。趾长屈肌(FDL),趾长屈肌(FHL),腓骨长短肌和短肌(PER),hall屈短肌(FHB),flex短屈肌(FDB)和外展拇长肌(AbH)的图像是and肌和足底筋膜使用带有5-13的Venue 40超声仪获得。 MHz传感器。结果:AbH,FHB和PER肌肉的CSA和厚度显着减小(AbH -12.8%和-6.8%,FHB -8.9%和-7.6%,PER -14.7%和-10%),而FDL(28.3% pes组患者中FHL分别为15.2%和FHL(分别为24%和9.8%)。 pes平面组中,足底筋膜的中部(-10.6%)和前部(-21.7%)较薄。结论:如果内在的脚部肌肉功能由于脚部结构的改变而受损,则更大的CSA和外在肌的厚度可能反映出支持MLA的代偿活动。较薄的足底筋膜表明负重减少,并且足底扁平足的结构和功能存在区域性变化。

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