Prevalence of calcaneal spur with respect to various risk factors in causing plantar fasciitis

Abstract

Calcaneum is the largest tarsal bone which forms the prominence of heel. A plantar calcaneal spur is an outgrowth of the calcaneus. Chronic inflammation at the insertion of tendons or plantar fascia is a common cause of spurs. Few studies showed a correlation between plantar fasciitisandcalcaneal spurs. Present study also explains that correlation is profound in subjects with risk factor such as advanced age, weight and developed Osteoarthritis. About 40 patients of known age and sex with history of heel pain were studied. Inform consent had taken prior to study. All 50 patients had completed X-ray lateral view of affected foot. Radiological study shows that about 30 patients were having calcaneal spur. Thus this study helps in not only understand the correlation of plantar fasciitis with calcaneal spur but it also helps the surgeon or orthopaedician to draft a line of treatment depending on the severity of  symptoms that is conservative or surgical intervention.

CONCLUSION: About 80% of patient of Painful heel having plantar fasciitis with PCS and is associated with high proportion in elderly, overweight, female patients.  It is known that majority are found deep to plantar fascia, surrounded by fibrocartilage. Histologically PCS has a trabecullar pattern and is in association with the factor listed above that determines the heel pressure. Potential causes of tendencies at heel, includes tear in plantar fascia, fracture of calcaneum or fat pad atrophy or any other neural cause appear prominently in of PCS.