Department of Orthopedics, Huashan Hospital, Fudan University, No. 12, Middle Wulumuqi Road, Jingan District, Shanghai, China.
Biomed Res Int. 2020 Feb 18;2020:5319640. doi: 10.1155/2020/5319640. eCollection 2020.
Previously, scholars have concluded that the Achilles tendon and the plantar fascia were closely biomechanically related, although there is little clinical evidence of the relationship between the two. To investigate the biomechanical relationship between the Achilles tendon and the plantar fascia, the author used standing lateral ankle radiographs of patients with insertional Achilles tendonitis to determine the biomechanical relationship between the Achilles tendon and plantar fascia.
The author collected standing lateral ankle radiographs from patients with insertional Achilles tendonitis who accepted surgical treatment in the author's hospital from March 2009 to July 2018. According to whether there were bone spurs on the posterior side of the calcaneus, patients were divided into group A (spur present on the posterior side) and group B (spur not present on the posterior side). The positive rates of spurs on the plantar side of the calcaneus were determined in group A and group B. The chi-square test was used to compare the measurement results between the two groups.
In group A, 13 heels were positive for calcaneal bone spurs, and the positive rate was 65.0%. In group B, 3 heels were positive for plantar calcaneal spurs, and the positive rate was 12%. Among all 16 patients with positive plantar calcaneal spurs, 13 had posterior calcaneal spurs (accounting for 81.3%), and 3 had negative results, accounting for 18.7%. There was a significant difference between the results in groups A and B ( < 0.05).
There is a relationship between posterior calcaneal spurs and plantar calcaneal spurs in patients with insertional Achilles tendonitis, which can be inferred as resulting from the increasing tension in the biomechanically complex relationship between the Achilles tendon and the plantar fascia.
此前，学者们已经得出结论，跟腱和足底筋膜在生物力学上密切相关，尽管两者之间的关系几乎没有临床证据。为了研究跟腱和足底筋膜之间的生物力学关系，作者使用患有附着性跟腱炎的患者的站立侧踝关节 X 光片来确定跟腱和足底筋膜之间的生物力学关系。
作者收集了 2009 年 3 月至 2018 年 7 月在作者医院接受手术治疗的附着性跟腱炎患者的站立侧踝关节 X 光片。根据跟骨后侧是否有骨刺，将患者分为 A 组（后侧有骨刺）和 B 组（后侧无骨刺）。在 A 组和 B 组中确定跟骨足底侧骨刺的阳性率。使用卡方检验比较两组之间的测量结果。
在 A 组中，13 个足跟的跟骨骨刺阳性，阳性率为 65.0%。在 B 组中，3 个足跟的足底跟骨骨刺阳性，阳性率为 12%。在所有 16 个跟骨足底骨刺阳性的患者中，13 个有跟骨后骨刺（占 81.3%），3 个无结果，占 18.7%。A 组和 B 组的结果有显著差异（<0.05）。
患有附着性跟腱炎的患者跟骨后骨刺与足底跟骨骨刺之间存在关系，可以推断为跟腱和足底筋膜之间复杂的生物力学关系中张力增加所致。
