BMC Musculoskeletal Disorders | |
Changes in prevalence of calcaneal spurs in men & women: a random population from a trauma clinic | |
Eric Lespessailles1  Rachid Jennane1  Thomas M Best4  Raphael Coursier2  Marija Mazor1  Ryan Davies3  Hechmi Toumi1  | |
[1] EA4708 Orleans University, IPROS, CHRO, 1, rue Porte-Madeleine, BP 2439, Orleans cedex 1 45032, France;Département de traumatologie-orthopédie France, UC Lille, Lille, France;Princess of Wales Hospital, Coity road, Bridgend, Wales CF31 1RQ, UK;Division of Sports Medicine, Department of Family Medicine, Sports Health And Performance Institute, The Ohio State University, Columbus, OH 43221, USA | |
关键词: Women; Men; Spur; Plantar; Achilles; | |
Others : 1128615 DOI : 10.1186/1471-2474-15-87 |
|
received in 2013-09-03, accepted in 2014-03-10, 发布年份 2014 | |
【 摘 要 】
Background
This study reports the changing prevalence of ankle (Achilles and plantar) spurs with age, in order to comment on their significance to rheumatologists.
Methods
1080 lateral ankle radiographs from each of 9 (50 men and 50 women) age cohorts from 2 to 96 years old of patients attending a trauma clinic were examined and spurs classified as small or large.
Results
The prevalence of both Achilles and plantar spurs in relation to the age categories and sex was variable. Overall, there was 38% of the population who had a spur (Achilles or plantar) and only third (11%) with spurs at both sites (Achilles and plantar). Large spurs were more prevalent in older individuals (40 to 79 years). There were no large plantar spurs in individuals <40 years of age and only 2% for the Achilles. The prevalence of spurs (Achilles and plantar) was significantly higher for woman than men in individuals <50 years of age. There was a notable moderate positive correlation (r = 0.71) between both plantar and Achilles spurs for women <30 years of age but no correlation for men (r = -0.03).
Conclusion
Plantar and Achilles spurs are highly prevalent in older people and the radiographic appearance of spurs differs between men and women. In individuals < 50 years of age, spur (Achilles and plantar) formation is more common in women than in men. Additionally, there was a notable moderate positive correlation between Achilles and plantar spurs for women <30 years of age.
【 授权许可】
2014 Toumi et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150225021204421.pdf | 480KB | download | |
Figure 4. | 18KB | Image | download |
Figure 3. | 13KB | Image | download |
Figure 2. | 16KB | Image | download |
Figure 1. | 38KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
【 参考文献 】
- [1]Bergmann JN: History and mechanical control of heel spur pain. Clin Podiatr Med Surg 1990, 7(2):243-259.
- [2]Kumai T, Benjamin M: Heel spur formation and the subcalcaneal enthesis of the plantar fascia. J Rheumatol 2002, 29(9):1957-1964.
- [3]Li J, Muehleman C: Anatomic relationship of heel spur to surrounding soft tissues: greater variability than previously reported. Clin Anat 2007, 20(8):950-955.
- [4]Weiss E: Calcaneal spurs: examining etiology using prehistoric skeletal remains to understand present day heel pain. Foot (Edinb) 2012, 22(3):125-129.
- [5]Menz HB, Zammit GV, Landorf KB, Munteanu SE: Plantar calcaneal spurs in older people: longitudinal traction or vertical compression? J Foot Ankle Res 2008, 1(1):1-7. BioMed Central Full Text
- [6]Banadda BM, Gona O, Vaz R, Ndlovu DM: Calcaneal spurs in a black African population. Foot Ankle 1992, 13:352-354.
- [7]Riepert T, Drechsler T, Urban R, Schild H, Mattern R: Altersabhangigkeit und Geschlechtsverteilung des Fersensporns. Analyse der Rontgenmorphologie bei 1027 Patienten der mitteleuropaischen Population. ROFO Fortschr Geb Rontgenstr Nuklearmed 1995, 162:502-505.
- [8]Chan YH: Biostatistics 104: correlational analysis. Singapore Med J 2003, 44(12):614-619.
- [9]Benjamin M, Moriggl B, Brenner E, Emery P, McGonagle D, Redman S: The “enthesis organ” concept: why enthesopathies may not present as focal insertional disorders. Arthritis Rheum 2004, 50(10):3306-3313.
- [10]Schepsis AA, Jones H, Haas AL: Achilles tendon disorders in athletes. Amer J Sports Med 2002, 30:287-305.
- [11]Krahl H, Pieper HG, Quack G: Die Knochenhypertrophie als Trainingseffekt. Orthopade 1995, 24:441-445.
- [12]Tyrdal S, Finnanger AM: Osseous manifestations of ‘handball goalie’s elbow. Scand J Med Sci Sports 1999, 9:92-97.
- [13]Jacobson JA, Girish G, Jiang Y, Sabb BJ: Radiographic evaluation of arthritis: degenerative joint disease and variations. Radiology 2008, 248(3):737-747.
- [14]Frey C, Thompson F, Smith J, Sanders M, Horstman H: American Orthopaedic Foot and Ankle Society women’s shoe survey. Foot Ankle 1993, 14:78-81.
- [15]Yung-Hui L, Wei-Hsien H: Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking. Appl Ergon 2005, 36:355-362.