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2018 ; 49
(ä): 37-39
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Bizarre calcaneal spur: A case report
#MMPMID29957453
Alatassi R
; Alajlan A
; Almalki T
Int J Surg Case Rep
2018[]; 49
(ä): 37-39
PMID29957453
show ga
INTRODUCTION: A calcaneal spur, also known as enthesophyte, is an abnormal bone
outgrowth at the inferior part of the calcaneus, which is the most common site of
bony spur occurrence. Although there is consensus that a calcaneal spur is a
common cause of heel pain, approximately 20% of calcaneal spurs are asymptomatic
and its pathology remains not fully understood. PRESENTATION OF CASE: In this
report, we present a rare case of a very large and bizarre calcaneal spur in a
young adult man. The calcaneal spur was painful, which affected his foot function
and was associated with plantar fasciitis. The spur length was measured in the
radiograph and exhibited the longest calcaneal spur reported in the literature.
The patient was treated conservatively, and he fully recovered his foot function.
DISCUSSION: This case was unique because although the patient presented with an
extremely large unilateral calcaneal spur, he was young and did not have any
chronic disease; hence, he was treated conservatively. The pain subsided and he
regained full function of his foot. This case questions the association between
calcaneal spur length and plantar fasciitis symptoms. CONCLUSION: This case
confirms that the length of calcaneal spurs, even extremely long ones, is not
associated with the pathology of plantar fasciitis and that surgical treatment is
not necessary.
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