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Bizarre calcaneal spur: A case report.

Raheef Alatassi1, Ahmad Alajlan1, Talal Almalki1

  • 1Security Forces Hospital, Department of Orthopedic Surgery, Riyadh, Saudi Arabia.

International Journal of Surgery Case Reports
|June 30, 2018
PubMed
Summary
This summary is machine-generated.

This case study highlights a rare, extremely large calcaneal spur in a young adult. Conservative treatment led to full recovery, questioning the direct link between spur size and plantar fasciitis severity.

Keywords:
Calcaneal spurCase reportHeel painPlantar fasciitisSpur length

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Area of Science:

  • Orthopedics
  • Podiatry
  • Radiology

Background:

  • A calcaneal spur (enthesophyte) is a common bony outgrowth causing heel pain.
  • However, the pathology of calcaneal spurs, even asymptomatic ones, is not fully understood.
  • This report details a unique case of an exceptionally large calcaneal spur.

Purpose of the Study:

  • To present a rare case of a very large calcaneal spur in a young adult.
  • To analyze the association between calcaneal spur size and plantar fasciitis symptoms.
  • To evaluate the effectiveness of conservative treatment for large calcaneal spurs.

Main Methods:

  • Case report of a young adult male with a large, painful calcaneal spur.
  • Radiographic measurement of the calcaneal spur length.
  • Conservative treatment approach for the patient's symptoms.

Main Results:

  • The patient presented with the longest calcaneal spur reported in the literature.
  • The spur was associated with plantar fasciitis and affected foot function.
  • Conservative treatment resulted in complete recovery of foot function and pain subsidence.

Conclusions:

  • Extremely large calcaneal spurs can occur in young, healthy individuals.
  • The length of a calcaneal spur may not correlate with the severity of plantar fasciitis.
  • Conservative management can be effective, potentially avoiding surgical intervention for large spurs.