J Korean Foot Ankle Soc.  2005 Jun;9(1):9-12.

A Radiographic Analysis of the Feet in Heel Pain

• Moon HT
• Moon JS
• Lee WC

Abstract

PURPOSE: This study is to compare the medial longitudinal arch between heel pain group and normal painless group.
MATERIALS AND METHODS
Heel pain group 242 feet and normal group 140 feet were evaluated through the radiographic images of standing foot-ankle lateral view. Four radiographic indices, talo-1stmetatarsal angle (TMA), calcaneal-1st metatarsal angle (CMA), calcaneal pitch angle (CPA), and arch ratio (AR), were used as well as BMI.
RESULTS
There was no difference between heel pain group and normal group in the TMA, CMA, CPA, and AR. But in the BMI, heel pain group showed 1.7 kg/m2 (p=0.0002) higher than normal group. To eliminate the sexual error, male and female were evaluated separately. Male heel pain group showed 2.9 degrees more dorsiflexion (p=0.001) in the TMA, 3.1 degrees greater (p=0.007) in the CMA, 0.01 lower (p=0.028) in the AR, and 1.0 kg/m2 greater (p=0.033) in the BMI than normal male group. There were no difference in the CPA. Female heel pain group showed 3.6 degree greater (p=0.035) in the CMA, and 1.9 kg/m2 greater (p=0.002) in the BMI than normal female group. But other indices demonstrated no differences.
CONCLUSION
talo-1stmetatarsal angle, calcaneal-1st metatarsal angle and arch ratio were radiographic indices related with heel pain.

Keyword

Heel pain; Radiographic index; BMI

MeSH Terms

Female
Foot*
Heel*
Humans
Male
Metatarsal Bones