PREVALEN CE OF CALCAN EAL SPU RS IN PATIENTS WITH FLATFOOT DEFORMITY
The article focused on the problems of calcaneal spur development, diagnosis and its treatment options. Plantar calcaneal pain (calcaneal spur) is caused by proximal plantar fasciitis induced by degenerative and dystrophic changes of plantar fascia at the site of its attachment to the calcaneal bone, which is seen in young and middle-aged patients. The prevalence of calcaneal spurs in patients of different ages with flatfoot deformities is analyzed in the article. The study involved 411 patients aged 20-74, including 150 males (36,5 %) and 261 females (63,5 %). Flatfeet were revealed in 398 patients (96,8 %). Calcaneal spurs were detected in 6 % of patients with flatfeet. In males and females aged 20-44 this indicator was 12,5 % and 16,6 %, respectively, which is slightly lower than that shown by official statistics. The patients with calcaneal spurs participated in a survey, which employed the FHSQ scale comprising 13 questions divided into 4 groups: foot pain (4 questions), foot function (4 questions), footwear (3 questions) and general condition of feet (2 questions). 8 people (33,3 %) agreed to participate in the survey, 15 patients (67,7 %) refused to participate for no valid reasons. Out of 24 patients with calcaneal spurs, 6 (25 %) patients reported enhanced quality of life, 2 (8 %) reported no changes. Therefore, we may conclude that foot orthotics using individual corrective insoles and optimization of the functional foot load on feet and overlying portions of the locomotor apparatus play an important role in reaching positive outcomes when treating plantar fasciitis.