Plantar fasciitis and the calcaneal spur: Fact or fiction?

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• 作者：K.S. Johal^a ; ¹ ; ^{ksjohal@doctors.org.uk} (BMedSci (Hons) ; BMBS (Hons)) ; S.A. Milner^b ; ² ; ^{steve.milner@nhs.net} (DM ; FRCS (Tr&Orth))
• 关键词：Plantar fasciitis ; Calcaneal spur ; Heel pain
• 刊名：Foot and Ankle Surgery
• 出版年：2012
• 出版时间：March 2012
• 年：2012
• 卷：18
• 期：1
• 页码：39-41
• 全文大小：229 K

文摘

Background

Plantar fasciitis is a common diagnosis in patients presenting with heel pain. The presence of co-existing calcaneal spurs has often been reported but confusion exists as to whether it is a casual or significant association.

Methods

The lateral heel radiographs of nineteen patients with a diagnosis of plantar fasciitis and nineteen comparison subjects with a lateral ankle ligament sprain matched for age and sex, were reviewed independently by two observers. Objective measurements of calcaneal spur length and a subjective grading of spur size were recorded.

Results

There was a significantly higher prevalence of calcaneal spurs in the cases than the comparison group (89 % versus 32 % ; McNemar chi-square = 9.09, df = 2, p = 0.00257). There was good inter- and intra-observer agreement.

Conclusion

The current study has demonstrated a significant association between plantar fasciitis and calcaneal spur formation. Further research is warranted to assess whether the association is causal.