Foot Pathology in Patients with Paget’s Disease of Bone

Williams, Anita; O’Neill, Terence W; Mercer, Sylvia; Toro, Brigitte; Nester, Christopher

doi:10.7547/0960226

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Williams and Bowden [90] correlated high FFI scores to foot morbidity in rheumatic diseases, and estimated cost of care/staffing concerns for that patient subset. Williams [91] also used the FFI scores in patients with Paget's disease and noted the impacts on plantar foot pressures, gaits, and ambulation abilities. Kamanli et al [92] correlated the scores of the FFI and foot bone mineral density, then extrapolated these scores to that individual's skeletal bone density.…”

Section: Resultsmentioning

confidence: 99%

A review of the foot function index and the foot function index – revised

Budiman‐Mak

Conrad

Mazza

et al. 2013

Journal of Foot and Ankle Research

161

134

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BackgroundThe Foot Function Index (FFI) is a self-report, foot-specific instrument measuring pain and disability and has been widely used to measure foot health for over twenty years. A revised FFI (FFI-R) was developed in response to criticism of the FFI. The purpose of this review was to assess the uses of FFI and FFI-R as were reported in medical and surgical literature and address the suggestions found in the literature to improve the metrics of FFI-R.MethodsA systematic literature search of PubMed/Medline and Embase databases from October 1991 through December 2010 comprised the main sources of literature. To enrich the bibliography, the search was extended to BioMedLib and Scopus search engines and manual search methods. Search terms included FFI, FFI scores, FFI-R. Requirements included abstracts/full length articles, English-language publications, and articles containing the term "foot complaints/problems." Articles selected were scrutinized; EBM abstracted data from literature and collected into tables designed for this review. EBM analyzed tables, KJC, JM, RMS reviewed and confirmed table contents. KJC and JM reanalyzed the original database of FFI-R to improve metrics.ResultsSeventy-eight articles qualified for this review, abstracts were compiled into 12 tables. FFI and FFI-R were used in studies of foot and ankle disorders in 4700 people worldwide. FFI Full scale or the Subscales and FFI-R were used as outcome measures in various studies; new instruments were developed based on FFI subscales. FFI Full scale was adapted/translated into other cultures. FFI and FFI-R psychometric properties are reported in this review. Reanalysis of FFI-R subscales' confirmed unidimensionality, and the FFI-R questionnaires' response categories were edited into four responses for ease of use.ConclusionThis review was limited to articles published in English in the past twenty years. FFI is used extensively worldwide; this instrument pioneered a quantifiable measure of foot health, and thus has shifted the paradigm of outcome measure to subjective, patient-centered, valid, reliable and responsive hard data endpoints. Edited FFI-R into four response categories will enhance its user friendliness for measuring foot health.

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Section: Resultsmentioning

confidence: 99%

A review of the foot function index and the foot function index – revised

Budiman‐Mak

Conrad

Mazza

et al. 2013

Journal of Foot and Ankle Research

161

134

View full text Add to dashboard Cite

show abstract

“…These validity results were similar to those related studies that investigated variable dimensions. Moderate to high correlations were found with pain-VAS [17,20], function-VAS [17], physical and mental health status [17,20,45], activity scale [17] and health-related quality of life [15,46]. A study of a Spanish version FFI reported a moderate correlation of the questionnaire with the EQ-5D and with the pain-VAS and weak correlation with the 12-item short-form health survey (SF-12) [47].…”

Section: The Construct Validity and Criterion Validitymentioning

confidence: 99%

Thai version of the foot function index: a cross-cultural adaptation with reliability and validity evaluation

Bovonsunthonchai

Thong-On

Vachalathiti

et al. 2020

BMC Sports Sci Med Rehabil

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Background The study aimed to translate the foot function index (FFI) questionnaire to Thai and to determine psychometric properties of the questionnaire among individuals with plantar foot complaints. Methods The Thai version of the FFI (FFI-Th) was adapted according to a forward and backward translation protocol by two independent translators and analyzed by a linguist and a committee. The FFI-Th was administered among 49 individuals with plantar foot complaints to determine internal consistency, reliability, and validity. Cronbach’s alpha and the Intraclass Correlation Coefficient (ICC3,1) were used to test the internal consistency and test-retest reliability. The Principal Component Analysis with varimax rotation method was used to test the factor structure and construct validity. Furthermore, the criterion validity was tested using Pearson’s correlation coefficient (rp) between the FFI-Th and the visual analogue pain scale (pain-VAS) as well as the EuroQol five-dimensional questionnaire (EQ-5D-5L). Results The FFI-Th showed good to excellent internal consistency and test-retest reliability in the total score, pain, disability, and activity limitation subscales. The Principal Component Analysis produced 4 principal factors from the FFI-Th items. Criterion validity of the FFI-Th total score showed moderate to strong correlations with pain-VAS and EQ-5D-5L, and EQ-VAS scores. Conclusion The FFI-Th was a reliable and valid questionnaire to assess the foot function in a Thai population. Trial registration NCT03161314 (08/05/2017).

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“…It has a relative high frequency in some populations but less than primary osteoporosis (7). Bone deformities as it might have been in this case are identified especially in pressure areas (8,9,10). Serum total alkaline phosphatase remains the first line of assays even less than on fifths of cases had normal values (5,10,11).…”

Section: Discussionmentioning

confidence: 55%

Forearm lump and osteoporosis

Cârșote¹,

Albu²,

Şandru³

et al. 2019

Ro J Med Pract.

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We introduce a case of a menopausal woman newly diagnosed with primary osteoporosis who has been detected with a forearm lump. A 57-year old female is confirmed with osteoporosis at DXA. The patient developed within 10 days a painful lump with local redness at dorso-medial part of left forearm. Apparently no local trauma was identified. Neither had she a general infection or any other condition in the mean time. The ultrasound identified a hypoechoic area of 4 by 1.3 by 4 cm, with positive Doppler signal. A local infection was considered and she was offered antibiotics for 10 days. However, since the patient also accused bone pain, she was re-referred for an endocrine assessment. The hormonal panel was consistent with the first assays. Also a mild inflammatory syndrome was detected based on erythrocytes sedimentation rate of 31 mm/1-hour (normal: < 25 mm/1-h) and C reactive protein of 1.4 mg/dl (normal: < 1 ng/ml). An X-Ray of the region was done and showed no anomaly. The bone whole body scintigram was negative at forearm but a fracture rib at the level of 9th left rib was identified and considered osteoporotic. A computed tomography showed the subcutaneous localisation of the lump with small calcifications and no bone involvement. Paget's disease of the bone was excluded based on normal bone turnover markers and negative bone scintigram. The proximity with a bone disease diagnosis needs to differentiate a subcutaneous lesion from a potential bone deformity caused by a metabolic bone condition.

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Foot Pathology in Patients with Paget’s Disease of Bone

Cited by 4 publications

References 14 publications

A review of the foot function index and the foot function index – revised

A review of the foot function index and the foot function index – revised

Thai version of the foot function index: a cross-cultural adaptation with reliability and validity evaluation

Forearm lump and osteoporosis

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