Lee Gregory P, Ogden John A, Cross G Lee
Atlanta Medical Center, Atlanta, GA, USA.
Foot Ankle Int. 2003 Dec;24(12):927-30. doi: 10.1177/107110070302401210.
In a prospective study of 435 patients with chronic proximal plantar fasciitis, 283 (65%) had an inferior calcaneal bone spur of variable size evident prior to treatment with electrohydraulic high-energy extracorporeal shock waves (ESW). This included 308 patients who received extracorporeal shock wave treatments and 127 placebo (sham control) patients. At both initial (3 months) and final (12 months) evaluations after receiving ESW, no patient who received shock wave applications had significant disappearance or change in the radiographic appearance of the heel spur. Clinical outcome after ESW was satisfactory in 168 patients (82%) with a radiographically demonstrable inferior heel spur and in 81 patients (79%) without such a heel spur. The results showed no correlation between the presence or absence of the heel spur and the eventual treatment outcome.
在一项对435例慢性足底近端筋膜炎患者的前瞻性研究中，283例（65%）在接受电液压高能体外冲击波（ESW）治疗前就有大小不一的跟骨下骨赘。这其中包括308例接受体外冲击波治疗的患者和127例接受安慰剂（假对照）治疗的患者。在接受ESW后的初始（3个月）和最终（12个月）评估中，接受冲击波治疗的患者中，没有患者的足跟骨赘在影像学上有明显消失或改变。在有影像学可证实的跟骨下骨赘的168例患者（82%）和无此类骨赘的81例患者（79%）中，ESW治疗后的临床结果均令人满意。结果显示，足跟骨赘的有无与最终治疗结果之间没有相关性。
