PM&R, vol.11, no.6, pp.613-618, 2019 (SCI-Expanded)
Background: Specific attention on the musculoskeletal impact of wearing high-heeled shoes (HHS) has mainly focused on knee oste-oarthritis and the literature is limited to biomechanical changes. The distal femoral cartilage has not been morphologically studied. Additionally, although heel elevation is coupled with a shear stress at the heel and overloaded calf muscles, Achilles tendon (AT) and plantar fascia (PF) thicknesses have not been assessed either.