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

Abstract

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.

Gambaran Spur Calcaneus dan Korelasinya dengan Plantar Fasciitis

“…Pekerjaan dibagi menjadi ibu rumah tangga, pekerja berat (petani dan buruh), swasta (pedagang, pelayan, penjahit, dan pegawai bank), PNS, dan kelompok lainnya seperti mahasiswa dan TNI/Polri. Indeks massa tubuh dikelompokkan menjadi underweight (<18,5), normal (18,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)9), overweight (23)(24)(25)(26)(27)(28)(29)9), dan obesitas (>30) Pasien plantar fasciitis dan bukan plantar fasciitis lebih banyak seorang pekerja swasta yaitu sekitar 13 orang (25,5%) dan 12 orang (29,3%), sedangkan indeks massa tubuh terbanyak pada kategori overweight yaitu 30 orang (58,8%) dan 24 orang (58,5%) untuk pasien plantar fasciitis dan bukan plantar fasciitis.…”

“…Spur calcaneus dalam penelitian ini diklasifikasikan menjadi 4 kategori sesuai dengan ukuran panjang spur yang telah diukur oleh peneliti. Hal ini dikelompokkan menjadi tidak ada (0 cm), kecil (<5 mm), medium (5-10 mm), dan besar (>10 mm) 13 . Tabel 3 menunjukan bahwa terdapat 16 orang (31,4%) pasien plantar fasciitis yang memiliki spur berukuran medium dan 5 orang (12,2%) pasien bukan plantar fasciitis.yang memiliki spur berukuran kecil.…”

“…Pada penelitian ini didapatkan jumlah pasien plantar fasciitis yang memiliki spur calcaneus lebih banyak dengan tipe medium. Hasil ini tidak jauh berbeda dengan beberapa penelitian, pasien plantar fasciitis lebih banyak ditemukan pada spur calcaneus dengan tipe medium 13,16 . Meskipun demikian, terdapat hasil penelitian yang melaporkan tipe spur yang terbanyak berukuran kecil 22 .…”

Localized osteophytic changes in the thoracic vertebra: an osteological and cadaveric study

“…Osteophytes are developed where excessive pressure is produced [4,28]. Presence of osteophytes are mostly seen in places such as: Foot, especially the heel (calcaneal spurs) [1], Hand or finger [6], Hip & Knee [11], Shoulder [9], Neck, and Spine [2]. According to research, the occurrence of osteophytes increases with age [23] and are common along the right lateral side of thoracic vertebral levels T4-T10 [15,25].…”