The Foot
Volume 17, Issue 1 , Pages 25-31 , March 2007

The inferior calcaneal spur—Anatomical and histological considerations

  • Simon Smith

      Affiliations

    • Essendon Foot Clinic, 961 Mt. Alexander Road, Essendon, Victoria 3040, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 3 9379 9224; fax: +61 3 9379 9498.
  • ,
  • Paul Tinley

      Affiliations

    • Department of Podiatry, School of Community Health, Charles Sturt University, New South Wales 2640, Australia
  • ,
  • Mark Gilheany

      Affiliations

    • East Melbourne Podiatry, East Melbourne, Victoria 3002, Australia
  • ,
  • Brian Grills

      Affiliations

    • School of Human Biosciences, Faculty of Health Sciences, La Trobe University, Victoria 3086, Australia
  • ,
  • Andrew Kingsford

      Affiliations

    • Kingsford Podiatry, Elsternwick, Victoria 3185, Australia

References 

  1. McCarthy DJ, Gorecki GE. The anatomical basis of inferior calcaneal lesions: a cryomicrotomy study. J Am Podiatr Med Assoc. 1979;69:527–536
  2. Forman WM, Green MA. The role of intrinsic musculature in the formation of inferior calcaneal exostoses. Clin Podiatr Med Surg. 1990;7:217–223
  3. Barrett SL, Day SV, Pignetti TT, Egly BR. Endoscopic heel anatomy: analysis of 200 fresh frozen specimens. J Foot Ankle Surg. 1995;34:51–55
  4. Abreu MR, Chung CB, Mendes L, Mohana-Borges A, Trudell D, Resnick D. Plantar calcaneal enthesophytes: new observations regarding sites of origin based on radiographic, MR imaging, anatomic, and paleopathologic analysis. Skeletal Radiol. 2003;32:13–21
  5. Snider MP, Clancy WG, McBeath AA. Plantar fascia release for chronic plantar fasciitis in runners. Am J Sports Med. 1983;11:215–219
  6. Schepsis AA, Leach RE, Gorzyca J. Plantar fasciitis: etiology, treatment, surgical results and review of the literature. Clin Orthop Relat Res. 1991;266:185–196
  7. Tountas AA, Fournasier VL. Operative treatment of subcalcaneal pain. Clin Orthop Relat Res. 1996;332:170–178
  8. Chen JC, Carter DR. Important concepts of mechanical regulation of bone formation and growth. Curr Opin Orthop. 2005;16:338–345
  9. Lemont H, Ammirati KM, Usen N. Plantar fasciitis: a degenerative process (Fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003;93:234–237
  10. Kumai T, Benjamin M. Heel spur formation and the subcalcaneal enthesis of the plantar fascia. J Rheumatol. 2002;9:1957–1964
  11. Amis J, Jennings L, Graham D, Graham CE. Painful heel syndrome: radiographic and treatment assessment. Foot Ankle Int. 1988;9:91–95
  12. Özdemir H, Söyüncü Y, Özgörgen M, Dabak K. Effects of changes in heel fat pad thickness and elasticity on heel pain. J Am Podiatr Med Assoc. 2004;94:47–51
  13. Malay DS. Heel surgery. In:  McGlamry ED,  Banks AS,  Downey MS editor. Comprehensive textbook of foot surgery. 2nd ed.. Williams and Wilkins; 1992;p. 439;[Chapter 16]
  14. National Institutes of Health Publication No. 98-4083: obesity education initiative: “clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults—the evidence report”. National Institutes of Health. National Heart, Lung and Blood Institute with Co-operation from the National Institute of Diabetes and Digestive and Kidney Diseases; 1998, p. 16.
  15. Sarrafian SK. Anatomy of the foot and ankle: descriptive, topographic, functional. 2nd ed.. J.B. Lippincott Company; 1993;p. 247
  16. Grasel RP, Schweitzer ME, Kovalovich AM, Karasick D, Wapner K, Hecht P, et al. MR Imaging of plantar fasciitis: edema, tears and occult marrow abnormalities correlated with outcome. AJR Am J Roentgenol. 1999;173:699–701
  17. Berkowitz JF, Kier R, Rudicel S. Plantar fasciitis: MR imaging. Radiology. 1991;179:665–667
  18. Wall JR, Harkness MA, Crawford A. Ultrasound diagnosis of plantar fasciitis. Foot Ankle Int. 1993;14:465–470
  19. Cardinal E, Chhem RK, Beauregard CG, Aubin B, Pelletier M. Plantar fasciitis: sonographic evaluation. Radiology. 1996;201:257–259
  20. Vohra PK, Kincaid BR, Japour CJ, Sobel E. Ultrasonographic evaluation of plantar fascia bands: a retrospective study of 211 symptomatic feet. J Am Podiatr Med Assoc. 2002;92:444–449
  21. Benjamin M, Qin S, Ralphs JR. Fibrocartilage associated with human tendons and their pulleys. J Anat. 1995;187:625–633
  22. Benjamin M, Ralphs JR. Fibrocartilage in tendons and ligaments—an adaptation to compressive load. J Anat. 1998;193:481–494
  23. Smith SD, Young-Paden B, Smith SB, Ellis WN. Fatigue perturbation of the os calcis. J Foot Ankle Surg. 1994;33:402–410
  24. DuVries HL. Heel Spur (calcaneal spur). Arch Surg. 1957;74:536–542
  25. Lapidus PW, Guidotti FP. Painful heel: report of 323 patients with 364 painful heels. Clin Orthop Relat Res. 1965;39:178–186
  26. Furey JG. Plantar fasciitis: the painful heel syndrome. J Bone Joint Surg Am. 1975;57-A:672–673
  27. Hill JJ, Cutting PJ. Heel pain and body weight. Foot Ankle Int. 1989;9:254–256
  28. Shikoff MD, Figura MA, Postar SE. Retrospective study of 195 patients with heel pain. J Am Podiatr Med Assoc. 1986;76:71–75
  29. Banadda BM, Gona O, Vas R, Ndlovu DM. Calcaneal spurs in a Black African population. Foot Ankle Int. 1992;13:352–354
  30. Snook GA, Chrisman OD. The management of subcalcaneal pain. Clin Orthop Relat Res. 1972;82:163–168
  31. Lester DK, Buchanan JR. Surgical treatment of plantar fasciitis. Clin Orthop Relat Res. 1984;186:202–204
  32. Riddle DL, Pulisic M, Sparrow K. Impact of demographic and impairment-related variables on disability associated with plantar fasciitis. Foot Ankle Int. 2004;25:311–317
  33. Malay DS. Plantar fasciitis and heel spur syndrome: a retrospective analysis. Reconstructive surgery of the foot and leg. Georgia: The Podiatry Institute, Inc.; 1996;p. 40–3 [Chapter 7, update 1996]
  34. Rubin G, Witten M. Plantar calcaneal spurs. Am J Orthop. 1963;38–54
  35. Theodorou DJ, Theodorou SJ, Farocki S, Kakitsubata Y, Resnick D. Pictorial review: disorders of the plantar aponeurosis: a spectrum of MR imaging findings. AJR Am J Roentgenol. 2001;176:97–104
  36. Cormack DH. Dense connective tissue, cartilage, bone and joints. In: Essential histology. 2nd ed.. Philadelphia: Lippincott Williams & Wilkins; 2001;p. 175–208[Chapter 8]
  37. Carter DR, Orr TE, Fyhrie DP, Schurman DJ. Influences of mechanical stress on prenatal and postnatal skeletal development. Clin Orthop Rel Res. 1987;219:237–250
  38. Chen Q, Wu QQ. Mechanoregulation of chondrocyte proliferation, maturation, and hypertrophy: ion-channel dependent transduction of matrix deformation signals. Exp Cell Res. 2000;256:383–391

PII: S0958-2592(06)00103-9

doi: 10.1016/j.foot.2006.10.002

The Foot
Volume 17, Issue 1 , Pages 25-31 , March 2007