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KMID : 0896719980020020076
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Journal of the Korean Society of Foot Surgery
1998 Volume.2 No. 2 p.76 ~ p.81
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Bone Spur and Over Weight in Painful Heel Syndrome and Tenderness, Underlying Cause Analusis
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Ko Sang-Hun
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Abstract
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Chiefly, painful heel syndrome is obser ved at old age. Many possible reasons were bursitis, plantar fasciitis, calcaneal periostitis around the calcaneus and achilles tendon. But the exact cause was not clearly identified due to complexity of subcalcaneal pain mechanism. The incidence of calcaneal spur and overweight were significant in painful heel syndrome. Our purpose of this study was analysis of underlyng cause and correlation about. bony spur and overweight in painful heel syndrome. The author used incidence of heel spur on painful heel syndrorne and body mass index t.o evaluate overweight. The material is 55 cases of painful heel syndrotne patient.s and 60 cases of cont.rol group. Bony spur was one of the cause of painful heel syndrome. Body weight. ancl calcaneal spur was developing factors on painful heel syndrome. And the result was as follows. 1. Spur formation incidences 35 cases (63.6%) in painfuJ heel syndrome, 8 cases (13.3 % } in normal eontrol group. So, patient’s roup is significantly high (p<0.01). 2. Body mass index is 26.48 in painful heel syndromes, 21.75 in normal control groups. Overweight above index 27 is 22 cases (40%) in painful heel syndromes, 3 cases (5% ) in normal control groups. So, patients group is significantly high (p(0.01). 3. In painfuJ heel syndrome, tenderness site is 46 cases (83.6%) in medial calcaneal t.uberosit.y, 4 cases (7.3%) in cent,ral calcaneal tuberosity, 1 cases (1.8%) in bot.h site. 4. Vnderlying causes of painful heel syndrome is 19 cases (34.5%) in plantar fasciitis, 16 cases (29.1%) in calcaneal periosti@cis, ll cases (20%) in bursitis, 4 cases (7.3%) in tendinitis, 2 cases (3.6%) in ent.rapment. neuropathy.
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KEYWORD
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Calcaneus, Painful Heel Syndrome, Spur, Overweight, Tenderness, Cause
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