Association between Achilles and Plantar Calcaneal Spur in Pakistani Population Presenting with Pain

Abstract

Aim: To evaluate the prevalence and associationbetween Achilles and plantar calcaneal spurs in Pakistani population. Study design: Cross sectional study. Place and duration of study: The study was conducted in the radiology department Combined Military Hospital Lahore from October 2020 to December 2020. Methodology: Three hundred and thirty five patients were enrolled. The age and sex of the patients were recorded. Lateral foot and/ or ankle radiographs were evaluated for presence of calcaneal spurs. Results:Mean age 38 years.There were 268 (80%) males and 67 (20%) females. 30.7% patients had a calcaneal spur in our population irrespective of age and gender. 13% patients had both posterior and inferior calcaneal spurs. There was higher prevalence of inferior calcaneal spur irrespective of age and gender.Posterior calcaneal spur was seen in 20% of males and in 15% of females. A total of 44 (68%) patients with posterior plantar spur were found to have a concomitant inferior calcaneal spur.Inferior calcaneal spur was seen in 25% of males and in 28% of females and positive correlation between posterior and inferior calcaneal spurs. Conclusion: There is a high prevalence of calcaneal spurs, which increases with advances of age. Inferior calcaneal spurs tend to be more prevalent in females. Furthermore, there is a significant association between the presence of posterior calcaneal spurs and the concomitant inferior calcaneal spurs. Key words: Achilles, Plantar, Calcaneal, Spur