Document Detail

Investigations into the fat pads of the sole of the foot: heel pressure studies.
MedLine Citation:
PMID:  1624185     Owner:  NLM     Status:  MEDLINE    
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.
M H Jahss; F Kummer; J D Michelson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle     Volume:  13     ISSN:  0198-0211     ISO Abbreviation:  Foot Ankle     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-08-07     Completed Date:  1992-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8010104     Medline TA:  Foot Ankle     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  227-32     Citation Subset:  IM; S    
Foot Service, Hospital for Joint Diseases-Orthopaedic Institute, New York, New York.
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MeSH Terms
Adipose Tissue / pathology,  physiology*
Heel / pathology,  physiology*
Weight-Bearing / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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