The association of calcaneal spur length and clinical and functional parameters in plantar fasciitis

Kuyucu, Ersin; Koçyiğit, Figen; Erdil, Mehmet

doi:10.1016/j.ijsu.2015.06.078

Cited by 30 publications

(41 citation statements)

References 13 publications

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“…Another study conducted by Kuyucu et al documented the correlation of plantar spur length with clinical and functional status in patients with plantar fasciitis. They concluded that patients with larger spur had significantly worse pain and function than those with smaller spur 11 . In 2015, an endoscopic study conducted by Zhou et al classified PS into two types based on the location of PS in relation with plantar fascia i.e.…”

Section: Discussionmentioning

confidence: 99%

Radiological classification and prevalence of plantar spur and their relationship with plantar fasciitis

Afroze¹,

Bharat²,

Jayagopal³

et al. 2018

Int. J. Orthop. Sci.

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Introduction:A presence or consequences of the plantar spur as a cause of plantar fasciitis are currently uncertain. But literature is deficient with conflicting findings regarding the relationship between the PS and PF. The study was undertaken to assess the incidence of types and sizes of the plantar spurs and to find the relationship between the plantar spur and plantar fasciitis. Material & Methods:We studied 30 patients with the complaints of plantar fasciitis having plantar spur were included. Length and size of the plantar spur were assessed radiologically using lateral view ankle X-rays. Pain and functional assessment were evaluated using VAS and AOFAS score before and after treatment. Results: Length of the plantar spur was classified as type 0/absent in 4 patients, 1/small in 4 patients, 2/medium in 12 patients and 3/large in 10 patients Plantar spur size was measure spurs as <5mm, 5-10mm, and >10mm. The highest incidence spurs size was 5-10mm and >10mm accounts for 36.67% each (n=11). Statistically, significant improvement was found in the mean VAS and AOFAS score in all the patients after treatment especially patient with a medium sized spur (grade 2).Cohen's Kappa statistic showed excellent intra and inter-observer agreement. Conclusions: These suggest that the presence or consequences of the plantar spur are not necessarily as a cause of plantar fasciitis. These results may enlighten the knowledge to understand the role of the plantar spur in a patient with plantar fasciitis.

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Section: Discussionmentioning

confidence: 99%

Radiological classification and prevalence of plantar spur and their relationship with plantar fasciitis

Afroze¹,

Bharat²,

Jayagopal³

et al. 2018

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

show abstract

“…The pathology of calcaneal spur remains not fully understood, but the traditional explanation on the formation of bony heel spur is the longitudinal traction hypothesis: inflammation and reactive ossification of the enthesis, particularly chondroidal and intramembranous ossification, are due to excessive traction of the origin of the plantar fascia at the calcaneal tuberosity [[3], [4], [5], [6], [7]]. …”

Section: Introductionmentioning

confidence: 99%

“…Obesity, pes planus, microtrauma, aging, and specific sport activities such as running, jumping, and ballet are all recognized risk factors that contribute to heel spur formation [1[3], [4], [5], [6]]. There is consensus that a calcaneal spur is a common cause of heel pain [14,4,5,6]; however, some cases are asymptomatic, with most studies reporting ∼16% and Bartold [8] reporting as much as ∼30%.…”

Section: Introductionmentioning

confidence: 99%

“…There is consensus that a calcaneal spur is a common cause of heel pain [14,4,5,6]; however, some cases are asymptomatic, with most studies reporting ∼16% and Bartold [8] reporting as much as ∼30%.…”

Section: Introductionmentioning

confidence: 99%

“…Kuyucu et al [4] investigated the association of calcaneal spur length with plantar fasciitis, and they reported that calcaneal spur size is a significant factor in terms of pain and function of the heel. However, studies that describe heel pain and functional status in relation to calcaneal spur length and size are limited and inconclusive.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bizarre calcaneal spur: A case report

Alatassi

Alajlan

Almalki

2018

International Journal of Surgery Case Reports

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The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain

Gulle,

Morrissey,

Tayfur

et al. 2024

Journal of Foot and Ankle Research

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BackgroundPlantar Heel Pain (PHP) can be a debilitating musculoskeletal condition from which only 50% recover within a year due to poor understanding of the mechanisms explaining severity and predicting outcomes specific to PHP.ObjectiveTo explore associations between biopsychosocial variables and the severity of people with PHP. Secondly, to determine what combination of self‐reported factors distinguishes people with PHP from other foot pain (OFP).MethodsWe collected data from 235 participants, including 135 (%57) PHP (age 44 ± 12 years, 66% female) and 99 OFP (%43) (age 38 ± 11 years, 57% female) using 5 demographic, 13 biomedical, 8 psychological, 3 social and 8 activity‐related factors. These were tested in linear and logistic regression models.ResultsQuality of life (QoL) (β = 0.35; p < 0.001), education (β = −0.22; p = 0.003), gender (β = −0.20; p = 0.007), morning pain duration (β = −0.18; p = 0.01) and disease duration (β = −0.15; p = 0.040) were significantly associated with severity of PHP. The second model, without QoL, showed that having sensitisation (β = −0.18; p = 0.002) and a higher level of morning pain (β = −0.20; p = 0.01) are associated with severity. The logistic regression results revealed that people with PHP tend to have a systemic disease (OR = 3.34; 1.53–7.76), express more kinesiophobia (OR = 1.02; 1.01–1.14), are less likely to have previous injuries (OR = 0.40; 0.19–0.81), worse morning pain (OR = 1.02; 1.01–1.03) and standing pain (OR = 2.60; 1.39–4.87) compared to people with OFP.ConclusionsPeople with PHP have higher associated levels of a range of psychological, social and activity related factors than people with OFP. The findings highlight the importance of considering psychosocial assessments alongside physical examination.

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The association of calcaneal spur length and clinical and functional parameters in plantar fasciitis

Abstract: The size of the calcaneal spur is an important parameter correlated with pain and functional scores in PF.

Cited by 30 publications

References 13 publications

Radiological classification and prevalence of plantar spur and their relationship with plantar fasciitis

Radiological classification and prevalence of plantar spur and their relationship with plantar fasciitis

Bizarre calcaneal spur: A case report

The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain

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