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An inferior calcaneal spur is located on the inferior aspect of the calcaneus and is typically a response to plantar fasciitis over a period, but may also be associated with ankylosing spondylitis (typically in children). A posterior calcaneal spur develops on the back of the heel at the insertion of the Achilles tendon. [3]
An enthesophyte, consisting of calcification deposits within the Achilles tendon at its calcaneal insertion. The Achilles tendon is wider than normal, further suggesting inflammation . Enthesophytes are abnormal bony projections at the attachment of a tendon or ligament . [ 1 ]
Sagittal magnetic resonance images of ankle region: psoriatic arthritis. (a) Short tau inversion recovery (STIR) image, showing high signal intensity at the Achilles tendon insertion (enthesitis, thick arrow) and in the synovium of the ankle joint (synovitis, long thin arrow). Bone marrow oedema is seen at the tendon insertion (short thin arrow ...
Palliative treatments consist of stretching, analgesics, and padding (e.g. cushioned foot wear for plantar fasciitis), splints (e.g. tennis elbow strap), and other treatments. The concept that a calcified attachment can be removed surgically is highly debatable as these calcifications are a regular part of an enthesopathy.
The plantar ligaments consist of longitudinal and oblique bands, disposed with less regularity than the dorsal ligaments. Those for the first and second metatarsals are the strongest; the second and third metatarsals are joined by oblique bands to the first cuneiform; the fourth and fifth metatarsals are connected by a few fibers to the cuboid.
On the lateral side is commonly a tubercle called the calcaneal tubercle (or trochlear process). This is a raised projection located between the tendons of the peroneus longus and brevis . It separates the two oblique grooves of the lateral surface of the calcaneus (for the tendons of the peroneal muscles).
Plantar fasciitis is an often painful degenerative process of the plantar fascia. Calcaneal spur (heel spur) is a small calcified bone extension located on the inferior aspect of the calcaneus or on the back of the heel at the insertion of the Achilles tendon. The condition is typically a response to plantar fasciitis over a period of time.
To help prevent a recurrence of Haglund's deformity: [3] wear appropriate shoes; avoid shoes with a rigid heel back [3]; use arch supports or orthotic devices [3]; perform stretching exercises to prevent the Achilles tendon from tightening [3] [4]