Plantar calcaneal spurs in older people: longitudinal traction or vertical compression?
2008

Plantar Calcaneal Spurs in Older People

Sample size: 216 publication Evidence: moderate

Author Information

Author(s): Hylton B. Menz, Gerard V. Zammit, Karl B. Landorf, Shannon E. Munteanu

Primary Institution: La Trobe University

Hypothesis

This study aimed to evaluate the prevalence and correlates of plantar calcaneal spurs in a large sample of older people.

Conclusion

Calcaneal spurs are common in older men and women and are related to obesity, osteoarthritis, and current or previous heel pain, but are unrelated to radiographic measurements of foot posture.

Supporting Evidence

  • 55% of participants had at least one plantar calcaneal spur.
  • Participants with plantar calcaneal spurs were more likely to be obese.
  • Those with spurs were also more likely to report osteoarthritis and heel pain.

Takeaway

Many older people have calcaneal spurs, which are bony growths on the heel that can be linked to being overweight and having joint pain.

Methodology

Weightbearing lateral foot radiographs were examined for plantar calcaneal and Achilles tendon spurs, and associations with various factors were explored.

Potential Biases

Self-reported medical history may lead to over-reporting or under-reporting of conditions.

Limitations

The sample was not randomly selected, and the presence of major medical conditions was determined by self-report, which may not be accurate.

Participant Demographics

216 participants aged 62 to 94 years, with 140 women and 76 men.

Statistical Information

P-Value

< 0.001

Confidence Interval

95% CI 1.2 to 3.5

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1757-1146-1-7

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