University of Nottingham, UK.
Foot Ankle Surg. 2012 Mar;18(1):39-41. doi: 10.1016/j.fas.2011.03.003. Epub 2011 Apr 13.
Plantar fasciitis is a common diagnosis in patients presenting with heel pain. The presence of co-existing calcaneal spurs has often been reported but confusion exists as to whether it is a casual or significant association.
The lateral heel radiographs of nineteen patients with a diagnosis of plantar fasciitis and nineteen comparison subjects with a lateral ankle ligament sprain matched for age and sex, were reviewed independently by two observers. Objective measurements of calcaneal spur length and a subjective grading of spur size were recorded.
There was a significantly higher prevalence of calcaneal spurs in the cases than the comparison group (89% versus 32%; McNemar chi-square=9.09, df=2, p=0.00257). There was good inter- and intra-observer agreement.
The current study has demonstrated a significant association between plantar fasciitis and calcaneal spur formation. Further research is warranted to assess whether the association is causal.
足底筋膜炎是一种常见的足跟痛诊断。常报道存在跟骨骨刺共存，但尚不清楚这是偶然还是重要的关联。
对 19 例足底筋膜炎患者和 19 例年龄和性别匹配的外侧踝关节韧带扭伤的对照患者的外侧足跟 X 线片进行了独立的两位观察者回顾。记录了跟骨骨刺长度的客观测量值和骨刺大小的主观分级。
与对照组相比，病例组的跟骨骨刺发生率明显更高（89% 对 32%；McNemar χ²=9.09，df=2，p=0.00257）。观察者之间和观察者内部的一致性很好。
本研究表明足底筋膜炎与跟骨骨刺形成之间存在显著关联。需要进一步研究以评估这种关联是否具有因果关系。
