The conundrum of calcaneal spurs: do they matter?

Hdl Handle:
http://hdl.handle.net/10147/311119
Title:
The conundrum of calcaneal spurs: do they matter?
Authors:
Moroney, Paul J; O'Neill, Barry J; Khan-Bhambro, Khalid; O'Flanagan, Shay J; Keogh, Peter; Kenny, Paddy J
Citation:
The Conundrum of Calcaneal Spurs: Do They Matter? 2013: Foot Ankle Spec
Journal:
Foot & Ankle Specialist
Issue Date:
30-Dec-2013
URI:
http://hdl.handle.net/10147/311119
DOI:
10.1177/1938640013516792
PubMed ID:
24379452
Abstract:
Background: Chronic plantar heel pain is a common and potentially debilitating condition, often caused by plantar fasciitis. Plantar calcaneal spurs were originally considered the cause of plantar fasciitis but are now regarded as an incidental finding by most authors. We aimed to test this hypothesis and to investigate predisposing factors for the development of spurs. Methods: We reviewed all lateral ankle X rays taken in our institution over a 6-month period and identified all X rays demonstrating calcaneal spurs. Then, we identified a similar number of age- and sex-matched controls without spurs. We contacted both groups by telephone and compared symptoms of heel pain, plantar fasciitis, associated comorbidities, and foot and ankle outcome scores (FAOSs). Results: We reviewed the X rays of 1103 consecutive patients and found a spur prevalence of 12.4%, more common in women and older patients. Questioning of the spur group and control group found a higher body mass index in the spur group. Patients with spurs were 4 times more likely to have diabetes mellitus and 10 times more likely to have lower-limb osteoarthritis. Patients with spurs had more foot pain and poorer FAOS than the control group, even when patients with plantar fasciitis were excluded. Conclusion: Our results demonstrate that the presence of a plantar calcaneal spur may be an indicator of foot pain independent of plantar fasciitis. Although spurs may not cause foot pain themselves, they may be an indication of other associated conditions. Clinical relevance: We have demonstrated the relevance of a radiographic finding once considered irrelevant.
Item Type:
Article In Press
Language:
en
Keywords:
FOOT
ISSN:
1938-7636

Full metadata record

DC FieldValue Language
dc.contributor.authorMoroney, Paul Jen_GB
dc.contributor.authorO'Neill, Barry Jen_GB
dc.contributor.authorKhan-Bhambro, Khaliden_GB
dc.contributor.authorO'Flanagan, Shay Jen_GB
dc.contributor.authorKeogh, Peteren_GB
dc.contributor.authorKenny, Paddy Jen_GB
dc.date.accessioned2014-01-09T11:48:03Z-
dc.date.available2014-01-09T11:48:03Z-
dc.date.issued2013-12-30-
dc.identifier.citationThe Conundrum of Calcaneal Spurs: Do They Matter? 2013: Foot Ankle Specen_GB
dc.identifier.issn1938-7636-
dc.identifier.pmid24379452-
dc.identifier.doi10.1177/1938640013516792-
dc.identifier.urihttp://hdl.handle.net/10147/311119-
dc.description.abstractBackground: Chronic plantar heel pain is a common and potentially debilitating condition, often caused by plantar fasciitis. Plantar calcaneal spurs were originally considered the cause of plantar fasciitis but are now regarded as an incidental finding by most authors. We aimed to test this hypothesis and to investigate predisposing factors for the development of spurs. Methods: We reviewed all lateral ankle X rays taken in our institution over a 6-month period and identified all X rays demonstrating calcaneal spurs. Then, we identified a similar number of age- and sex-matched controls without spurs. We contacted both groups by telephone and compared symptoms of heel pain, plantar fasciitis, associated comorbidities, and foot and ankle outcome scores (FAOSs). Results: We reviewed the X rays of 1103 consecutive patients and found a spur prevalence of 12.4%, more common in women and older patients. Questioning of the spur group and control group found a higher body mass index in the spur group. Patients with spurs were 4 times more likely to have diabetes mellitus and 10 times more likely to have lower-limb osteoarthritis. Patients with spurs had more foot pain and poorer FAOS than the control group, even when patients with plantar fasciitis were excluded. Conclusion: Our results demonstrate that the presence of a plantar calcaneal spur may be an indicator of foot pain independent of plantar fasciitis. Although spurs may not cause foot pain themselves, they may be an indication of other associated conditions. Clinical relevance: We have demonstrated the relevance of a radiographic finding once considered irrelevant.-
dc.languageENG-
dc.language.isoenen
dc.rightsArchived with thanks to Foot & ankle specialisten_GB
dc.subjectFOOTen_GB
dc.titleThe conundrum of calcaneal spurs: do they matter?en_GB
dc.typeArticle In Pressen
dc.identifier.journalFoot & Ankle Specialisten_GB

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