The age dependent change in the incidence of calcaneal spur

Objective: The aim of the present study was to evaluate the association between the calcaneal spur incidence and age, gender and side. Methods: Lateral ankle X-rays of 1335 patients (550 (41.2%) females and 758 (58.8) males; mean age: 46.5 ± 13.5 years) who referred to our hospital because of trauma were reviewed. Incidence of plantar calcaneal spur, posterior calcaneal spur and association of such incidences with age, gender and side were all evaluated. Results: Incidences of plantar calcaneal spur and posterior calcaneal spur were detected as 32.2% (male: 31%, female: 34%) and 13.1% (male: 11%, female: 16%), respectively. Incidence of plantar calcaneal spur increased by age whereas there was not any association with gender and location. The highest incidence was detected as 41.8% over 70 years of age. Incidence of posterior calcaneal spur increased by age and female gender whereas no significant association was observed with location. The highest incidence was detected as 22.3% between 61 and 70 years of age. Conclusion: Incidences of plantar and posterior calcaneal spur were detected as 32.2% and 13.1%, respectively. Both plantar and posterior calcaneal spur incidence increases by age. Posterior calcaneal spur occurs significantly more frequently in females while, no difference is found between the males and females in incidence of the plantar calcaneal spur.

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Johal KS, Milner SA. Plantar fasciitis and the calcaneal spur: fact or fiction? Foot Ankle Surg. 2012;18:39e41.

Banadda BM, Gona O, Vaz R, Ndlovu DM. Calcaneal spurs in a black African population. Foot Ankle. 1992;13:352e354.

Toumi H, Davies R, Mazor M, et al. Changes in prevalence of calcaneal spurs in men & women: a random population from a trauma clinic. BMC Musculoskelet Disord. 2014;15:87.

Riepert T, Drechsler T, Urban R, Schild H, Mattern R. The incidence, age dependence and sex distribution of the calcaneal spur. An analysis of its X-ray morphology in 1027 patients of the central European population. RoFo. 1995;162:502e505.

Osborne HR, Breidahl WH, Allison GT. Critical differences in lateral X-rays with and without a diagnosis of plantar fasciitis. J Sci Med Sport. 2006;9:231e237.

Menz HB, Zammit GV, Landorf KB, Munteanu Se. Plantar calcaneal spurs in older people: longitudinal traction or vertical compression? J Foot Ankle Res. 2008;1:7.

Bassiouni M. Incidence of calcaneal spurs in osteo-arthrosis and rheumatoid arthritis, and in control patients. Ann Rheum Dis. 1965;24:490e493.

Gerster JC, Vischer TL, Bennani A, Fallet GH. The painful heel. Comparative study in rheumatoid arthritis, ankylosing spondylitis, Reiter's syndrome, and generalized osteoarthrosis. Ann Rheum Dis. 1977;36:343e348.

P,P. Exostosen des Fersenbeins. Jahresbericht der Gesellschaft für Natur und Heilkunde in Dresden. 1900.

Bergmann JN. History and mechanical control of heel spur pain. Clin Podiatr Med Surg. 1990;7:243e259.

Kumai T, Benjamin M. Heel spur formation and the subcalcaneal enthesis of the plantar fascia. J Rheumatol. 2002;29:1957e1964.

Krahl H, Pieper HG, Quack G. Bone hypertrophy as a results of training. Orthopade. 1995;24:441e445.

Shama SS, Kominsky SJ, Lemont H. Prevalence of non-painful heel spur and its relation to postural foot position. J Am Podiatry Assoc. 1983;73:122e123.

Shaibani A, Workman R, Rothschild BM. The significance of enthesopathy as a skeletal phenomenon. Clin Exp Rheumatol. 1993;11:399e403.