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		13:	Plantar fasciitis and the calcaneal spur: Fact or fiction?
			著者: K S Johal, S A Milner 雑誌名: Foot Ankle Surg. 2012 Mar;18(1):39-41. doi: 10.1016/j.fas.2011.03.003. Epub 2011 Apr 13. Abstract/Text BACKGROUND: Plantar fasciitis is a common diagnosis in patients presenting with heel pain. The presence of co-existing calcaneal spurs has often been reported but confusion exists as to whether it is a casual or significant association. METHODS: The lateral heel radiographs of nineteen patients with a diagnosis of plantar fasciitis and nineteen comparison subjects with a lateral ankle ligament sprain matched for age and sex, were reviewed independently by two observers. Objective measurements of calcaneal spur length and a subjective grading of spur size were recorded. RESULTS: There was a significantly higher prevalence of calcaneal spurs in the cases than the comparison group (89% versus 32%; McNemar chi-square=9.09, df=2, p=0.00257). There was good inter- and intra-observer agreement. CONCLUSION: The current study has demonstrated a significant association between plantar fasciitis and calcaneal spur formation. Further research is warranted to assess whether the association is causal. Copyright © 2011 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved. PMID 22326003 Foot Ankle Surg. 2012 Mar;18(1):39-41. doi: 10.1016/j.fas.2011.03.003. Epub 2011 Apr 13.