Foot pathology in patients with Paget’s disease of bone

Williams, AE; ONeill, TW; Mercer, S; Toro, B; Nester, CJ

Abstract

The characteristic bone deformities associated with advanced Paget’s
disease of bone may result in abnormal gait and plantar foot pressures,
which contribute to the development of pressure-related skin problems.
This study aimed to characterize the foot problems and foot-care needs
in this patient group and to investigate the effect of disease distribution
on the occurrence of foot pathology. One hundred thirty-four patients
with Paget’s disease were assessed clinically, and the Foot Structure
Index was completed for each patient. Patients completed self-administered
questionnaires concerning foot function (Foot Function Index) and
quality of life (12-Item Short Form). The results of this study suggest that
foot-health and footwear problems are common in patients with Paget’s
disease. Forty percent of the patients required professional foot care in
addition to those already receiving it. The site of pagetic involvement did
not affect the occurrence of foot pathology. Further research is required
on the impact of the extent of any femoral or tibial deformity on foot
symptoms and pathology. Biomechanical studies of the forces and motion
in the foot related to different degrees of femoral and tibial deformity
might also help determine the impact of deformity on foot pathology.

Citation

Williams, A., ONeill, T., Mercer, S., Toro, B., & Nester, C. Foot pathology in patients with Paget’s disease of bone. Journal of the American Podiatric Medical Association, 96(3), 226-231

• Journal Article Type: Article
• Deposit Date: Sep 29, 2010
• Publicly Available Date: Apr 5, 2016
• Journal: Journal of the American Podiatric Medical Association
• Print ISSN: 8750-7315
• Publisher: American Podiatric Medical Association
• Peer Reviewed: Peer Reviewed
• Volume: 96
• Issue: 3
• Pages: 226-231
• Publisher URL: http://www.japmaonline.org/