Classification of Calcaneal Spurs and Their Relationship With Plantar Fasciitis

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Binghua ZhouKang-Lai Tang

Abstract

Calcaneal spurs, as a cause of plantar fasciitis, are currently debatable. A prospective study was performed to classify calcaneal spurs according to the findings from an investigation of the relationship between calcaneal spurs and plantar fasciitis. Thirty patients with calcaneal spurs and plantar heel pain underwent calcaneal spur removal and endoscopic plantar fasciotomy. The relationship between the classification of calcaneal spurs and plantar fasciitis was evaluated by endoscopic findings, clinical symptoms, radiographic images, and biopsy findings. The visual analog scale for pain and the American Orthopedic Foot and Ankle Society ankle-hindfoot scores for functional evaluation were used preoperatively and postoperatively, respectively. The mean follow-up period was 24 months. Two separate types of calcaneal spurs were recognized. Type A calcaneal spurs were located superior to the plantar fascia insertion, and type B calcaneal spurs were located within the plantar fascia. Magnetic resonance imaging results showed a more severe plantar fasciitis grade in type B calcaneal spurs preoperatively. Histologic examination showed that the numbers of granulocytes per image in type B spurs were significantly increased compared wi...Continue Reading

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Citations

Mar 1, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Shaun HafnerChristopher Wallace
May 28, 2016·Journal of Back and Musculoskeletal Rehabilitation·Emrullah HaytaAli Cetin
May 15, 2016·Foot & Ankle International·Jamal AhmadJoseph N Daniel
Dec 14, 2016·Insights Into Imaging·Ferdinando DraghiGioia Ori Belometti
May 6, 2020·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Karim GarianiIlker Uçkay
Jul 1, 2020·BioMed Research International·Lei ZhangGuo-You Wang
Mar 23, 2021·Clinics in Podiatric Medicine and Surgery·Travis Motley

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