INVESTIGATIONS INTO THE FAT PADS OF THE SOLE OF THE FOOT - HEEL PRESSURE STUDIES

被引:64
作者
JAHSS, MH [1 ]
KUMMER, F [1 ]
MICHELSON, JD [1 ]
机构
[1] HOSP JOINT DIS & MED CTR,INST ORTHOPAED,NEW YORK,NY 10003
来源
FOOT & ANKLE | 1992年 / 13卷 / 05期
关键词
D O I
10.1177/107110079201300501
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The fat pads of the heel have a structure that is optimized for load bearing. In various diseases and aging, the load-carrying ability of the heel pad is clinically impaired. The loading pattern was examined in subjects having normal heel pads and those with atrophic heel pads, both with and without clinical symptoms. Normal heel pads showed a broad region of high pressure, which accounted for a high percentage of the total load transmission. In contrast, the atrophic heels showed a high but narrow peak pressure. However, most of the load was transmitted over a large area of low pressure. There was no difference between symptomatic and asymptomatic heels. The mechanical behavior of the fat pad is discussed with particular reference to the anatomic structure of the pads. Pad thickness and septal integrity are both important to the mechanical characteristics of the fat pad. The load-bearing patterns observed are discussed in terms of the mechanical components influencing fat pad resilience. These results have direct relevance to understanding the pathophysiology of heel pain secondary to degeneration of the fat pad.
引用
收藏
页码:227 / 232
页数:6
相关论文
共 7 条
  • [1] Blechshmidt E., The structure of the calcaneal padding (English translation), Foot Ankle, 2, pp. 260-283, (1982)
  • [2] Jahss M.H., Michelson J.D., Desai P., Kaye R., Kummer F., Buschman W., Watkins F., Reich S., Investigations into the fat pads of the sole of the foot: anatomy and histology, Foot Ankle, 13, pp. 233-242, (1992)
  • [3] Jorgensen U., Achillodynia and loss of heel pad shock absorbency, Am. J. Sports Med., 13, pp. 128-132, (1985)
  • [4] Jorgensen U., Larsen E., Varmarken J.E., The HPC-device: a method to quantify the heel pad shock absorbency, Foot Ankle, 9, pp. 93-98, (1989)
  • [5] Jorgensen U., Bojsen-Moller F., Shock absorbency of factors in the shoe/heel interaction-with special focus on the role of the heel pad, Foot Ankle, 9, pp. 294-299, (1989)
  • [6] Oomens C.W.J., Van Campen D.H., Grootenboer H.J., In vitro compression of a soft tissue layer on a rigid foundation, J. Biomech., 20, pp. 923-935, (1987)
  • [7] Robbins S.E., Gouw G.J., Hanna A.M., Running-related injury prevention through innate impact-moderating behavior, Med. Sci. Sports Exerc., 21, pp. 130-139, (1989)