A Positive Association Between Foot Posture Index and Medial Compartment Knee Osteoarthritis in Moroccan People

F.E, Abourazzak; N, Kadi; H, Azzouzi; F, Lazrak; A, Najdi; C, Nejjari; T, Harzy

A Positive Association Between Foot Posture Index and Medial Compartment Knee Osteoarthritis in Moroccan People

Abourazzak F.E^{*, 1}, Kadi N¹, Azzouzi H¹, Lazrak F¹, Najdi A², Nejjari C², Harzy T¹

¹ Rheumatology Department, Hassan II University Hospital, Fez, Morocco

² Laboratory of Epidemiology and Public Health, Faculty of Medicine and Pharmacy, Fez, Morocco

Article Information

Identifiers and Pagination:

Year: 2014
Volume: 8
First Page: 96
Last Page: 99
Publisher ID: TORJ-8-96
DOI: 10.2174/1874312901408010096

Article History:

Received Date: 7/7/2013
Revision Received Date: 14/10/2014
Acceptance Date: 30/10/2014
Electronic publication date: 11 /12/2014
Collection year: 2014

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© Abourazzak et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

^* Address correspondence to this author at the Rheumatology Department, Hassan II University Hospital, Fez, Morocco; Tel: 00 212 6 61 60 18 14; Fax: 00 212 5 35 61 27 94; E-mail: f.abourazzak@yahoo.fr

Objectives :

To compare foot posture in people with and without medial compartment knee osteoarthritis (OA), and to assess association between its abnormalities and medial compartment knee OA.

Methods :

We compared the foot posture of patients with clinically and radiographically-confirmed medial compartment knee OA and asymptomatic healthy controls using the foot posture index (FPI), navicular height, and the medial arch.

Results :

We included 100 patients and 80 asymptomatic controls. The mean age of patients was 59 ± 7 (44-76) years and 48 ± 9 (28-60) years in the control (p=0.06). Patients group have more pronated foot for FPI (1.50 ± 2.68 vs 0.72 ± 2.63; p=0.05), more flat foot (42% vs 22%; p=0.03), and less pes cavus than the control group (58% vs 77%; p=0.004). However, there was no significant difference between the groups in the navicular height (3.90 ± 0.85 cm vs 4.00 ± 0.76 cm; p=0.41).

In multivariate statistical analysis, after adjusting for age and body mass index, pronated foot in FPI (OR=1.22, 95%IC= [1.06-1.40], p=0.005), and pes cavus (OR=0.32, 95%IC= [0.11-0.93], p=0.03) had a significant correlation with the knee osteoarthritis.

Conclusion :

Pronated foot posture and flat foot are significantly associated with medial compartment knee osteoarthritis.

Keywords: Foot posture, foot posture index, knee osteoarthritis, medial arch, medial compartment, navicular height..

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RESEARCH ARTICLE

A Positive Association Between Foot Posture Index and Medial Compartment Knee Osteoarthritis in Moroccan People

Article Information

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Abstract

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