Riepert T, Drechsler T, Urban R, Schild H, Mattern R
Institut für Rechtsmedizin, Johannes-Gutenberg-Universität Mainz.
Rofo. 1995 Jun;162(6):502-5. doi: 10.1055/s-2007-1015925.
In 1027 lateral radiograms of the ankle in a Caucasian population, 161 plantar and/or dorsal calcaneal spurs (15.7%) were diagnosed. Plantar spurs were more common than dorsal spurs (11.2 and 9.3% respectively). Prevalence of both spurs increases considerably with the rising age. Dorsal spurs appear slightly earlier than plantar spurs. The spur frequencies are similar in left and right feet. The plantar spurs were significantly (p < 0.0001) more common in women than in men in general, while dorsal spurs were more frequent in men than in women up to the age of 70. The previously reported higher frequencies of plantar and dorsal calcaneal spurs in women than in men are probably a result of a disproportionally higher number of women in higher age in the groups studied. In forensic medicine, calcaneal spurs provide evidence for identity and age of unknown corpses, and to certain extend their profession, physical activities and constitution during life.
在对高加索人群的1027张踝关节侧位X线片进行检查后，诊断出161例跟骨跖侧和/或背侧骨刺（占15.7%）。跖侧骨刺比背侧骨刺更常见（分别为11.2%和9.3%）。两种骨刺的患病率均随年龄增长而显著增加。背侧骨刺出现的时间略早于跖侧骨刺。左右脚的骨刺发生率相似。总体而言，跖侧骨刺在女性中比在男性中更常见（p < 0.0001），而在70岁之前，背侧骨刺在男性中比在女性中更常见。先前报道的女性跟骨跖侧和背侧骨刺发生率高于男性，可能是由于在所研究的群体中，年龄较大的女性数量不成比例地更高。在法医学中，跟骨骨刺为识别无名尸体的身份和年龄提供了证据，并在一定程度上反映了他们生前的职业、体育活动和体质。
