Talocalcaneal Angle in Calcaneal Spur Formation

Bakirkoy Dr. Sadi Konuk Research and Training Hospital150 enrolled

Overview

Calcaneal spur is one of the most common causes of chronic heel lower face pain without a traumatic cause. Obesity, sedentary life and advanced age play a role in its etiology. Mechanical overload is the main factor in the development of the disease. Impaired biomechanical factors in the foot cause repetitive microtraumas, traction periostitis and degenerative changes in the plantar fascia. The calcaneal spur is a result of this pathological process that creates pain. Many static radiological evaluation methods are used to evaluate the effect of foot anatomy in etiology. The talocalcaneal angle is one of them. It is the angle between the long axis of the talus and the long axis of the calcaneus. This angle shows the alignment of the back of the foot. It decreases with varus angulation of the back of the foot and increases with valgus angulation. In this study, it was aimed to determine the place of the talocalcaneal angle values measured in the lateral radiographs of the foot in the etiology of painful calcaneal spur formation.

The study was designed retrospectively. In this study, talocalcaneal angles of patients with heel pain and epin on lateral foot radiograph will be compared with talocalcaneal angle measurements on lateral foot radiographs without epin calcanei. Measurements will be made by the same physician, 3 measurements will be made and the average value will be recorded. It was aimed to investigate the effect of talocalcaneal angle on calcaneal spur formation.

Study Type

OBSERVATIONAL

Enrollment

150

Conditions

Foot Callus Plantar Fascitis

Interventions

Eligibility

Sex: ALLMin age: 30 YearsMax age: 75 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Patients between the ages of 30-75 who applied to our outpatient clinic with the complaint of pain with pressing on the heel for at least 3 months. • Patients with calcaneal spur detected in the lateral radiographs of the feet Exclusion Criteria: Those who complain of heel pain for less than 3 months, have any rheumatological disease, have a previous history of foot and ankle fractures

Outcomes

Primary Outcomes

talocalcaneal measurement on patient groups and control radiographs with heel spurs in the first

On the lateral foot radiograph, the angle between the line drawn from the calcaneal tubercule to the 5th finger and the line drawn from the talus body to the calcaneal tubercule is measured.

Time frame: baseline