136 results match your criteria Retrocalcaneal Bursitis


Calcific Insertional Achilles Tendinopathy-Achilles Repair With Flexor Hallucis Longus Tendon Transfer: Case Series and Surgical Technique.

J Foot Ankle Surg 2019 Jan 3. Epub 2019 Jan 3.

Director of Residency Training, Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Calcific insertional Achilles tendinopathy (CIAT) is a relatively common musculoskeletal entity that results in significant pain and disability, as well as posterior muscle group weakness. There is a lack of evidence criteria to support the timing of operative intervention, choice of procedures, or whether equinus requires treatment. The purpose of this study was to retrospectively review 45 patients (48 feet) who have undergone surgical management of CIAT with concomitant posterior muscle group weakness with the single heel rise testing. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183036
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http://dx.doi.org/10.1053/j.jfas.2018.08.021DOI Listing
January 2019
5 Reads

Cockscomb appearance: Retrocalcaneal bursitis.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:127

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

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http://doi.wiley.com/10.1111/1754-9485.08_12786
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http://dx.doi.org/10.1111/1754-9485.08_12786DOI Listing
October 2018
4 Reads

[Arthroscopic Treatment of Chronic Retrocalcaneal Bursitis - Endoscopic Calcaneoplasty].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):209-215

Klinika traumatologie Lékařské fakulty Masarykovy univerzity Brno.

INTRODUCTION The authors evaluate the results of endoscopic treatment and analyse the causes of persisting difficulties in retrocalcaneal bursitis unresponsive to conservative treatment. Stated as one of the causes is the possible chronic irritation of minor/partial tears of anterior parts of the distal portion of the Achilles tendon, which have no chance to heal due to continued overload and impingement syndrome of the superior prominence of the calcaneal tubercle. MATERIAL AND METHODS The authors evaluate the group of 24 patients (10 women and 14 men) diagnosed with retrocalcaneal bursitis, who reported more than 12 months of difficulties and in whom the conservative therapy options have already been exhausted. Read More

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January 2019
9 Reads

Retrocalcaneal Bursitis Precedes or Accompanies Achilles Tendon Enthesitis in the Early Phase of Rheumatoid Arthritis.

Clin Med Insights Arthritis Musculoskelet Disord 2018 5;11:1179544118781094. Epub 2018 Jun 5.

Division of Allergy and Rheumatology, Japanese Red Cross Medical Center, Tokyo, Japan.

The consecutive reports and stored images of ultrasound examinations for 100 symptomatic ankles of 74 patients with rheumatoid arthritis (RA) were reviewed for the presence or absence of retrocalcaneal bursitis (RCB) and Achilles tendon enthesitis (ATE). The ankles were classified into 4 categories based on the presence or absence of RCB or ATE. The number of RCB(-)/ATE(-), RCB(+)/ATE(-), RCB(+)/ATE(+), and RCB(-)/ATE(+) ankles was 62, 16, 12, and 10, respectively. Read More

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http://dx.doi.org/10.1177/1179544118781094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990877PMC
June 2018
5 Reads

Clinical presentation and surgical management of chronic Achilles tendon disorders - A retrospective observation on a set of consecutive patients being operated by the same orthopedic surgeon.

Foot Ankle Surg 2018 Dec 12;24(6):490-494. Epub 2017 Jun 12.

Department of Integrative Medical Biology, Anatomy Section, Umeå University, S-901 87 Umeå, Sweden; Dr Alfen, Orthopedic Spine Center, 97080 Würzburg, Germany. Electronic address:

Background: Non-invasive treatment is not always successful in patients with Achilles tendon disorders, and surgical treatment is instituted as the next step. There is sparse knowledge about the diagnoses, pain levels before surgery, surgically confirmed pathologies and postoperative complications in large patient groups.

Aims: To study the diagnoses, pain scores before surgery, macroscopic surgical findings and postoperative complications in a series of patients treated for Achilles disorders. Read More

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http://dx.doi.org/10.1016/j.fas.2017.05.011DOI Listing
December 2018
11 Reads

A Case of Posterior Tibial Nerve Injury After Arthroscopic Calcaneoplasty.

J Foot Ankle Surg 2018 May - Jun;57(3):587-592. Epub 2018 Jan 5.

Professor, Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON, Canada.

We report the first case of distal posterior tibial nerve injury after arthroscopic calcaneoplasty. A 59-year-old male had undergone right arthroscopic calcaneoplasty to treat retrocalcaneal bursitis secondary to a Haglund's deformity. The patient complained of numbness in his right foot immediately after the procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516173058
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http://dx.doi.org/10.1053/j.jfas.2017.10.004DOI Listing
October 2018
39 Reads
1 Citation
0.980 Impact Factor

[Insertional Achilles tendinopathy : Differentiated diagnostics and therapy].

Unfallchirurg 2017 Dec;120(12):1044-1053

Klinik für Allgemeine, Unfall‑, Hand- und Wiederherstellungschirurgie, Ludwig-Maximilians-Universität, Nußbaumstr. 20, 80336, München, Deutschland.

Achilles tendinopathy at the calcaneal insertion is classified into insertional tendinopathy, retrocalcaneal and superficial bursitis. The aim of this study was to present the current evidence on conservative and surgical treatment of insertional tendinopathy of the Achilles tendon. Conservative first-line therapy includes reduction of activity levels, administration of non-steroidal anti-inflammatory drugs (NSAID), adaptation of footwear, heel wedges and orthoses or immobilization. Read More

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http://dx.doi.org/10.1007/s00113-017-0415-1DOI Listing
December 2017
28 Reads

Normative size of the osseous part of calcaneal bursa and its comparison with other calcaneal articular areas.

Foot (Edinb) 2017 Aug 7;32:49-52. Epub 2017 Sep 7.

Ohio Musculoskeletal and Neurological Institute, Department of Biological Sciences, Ohio University, Athens, OH, 45701, United States. Electronic address:

The retro-calcaneal bursa presents a synovial and a non-synovial osseous part of variable dimensions. Studies objectively measuring the variability of the size of this osseous bursal surface cannot be found in literature. The objective of this study was to investigate (i) the dimension variability of the bony part of the bursa and (ii) the relationship of this surface to other articulating areas of the calcaneus. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592173010
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http://dx.doi.org/10.1016/j.foot.2017.09.002DOI Listing
August 2017
30 Reads

Surgical Correction of Haglund's Triad Using a Central Tendon-Splitting Approach: A Retrospective Outcomes Study.

J Foot Ankle Surg 2017 Nov - Dec;56(6):1132-1138. Epub 2017 Aug 12.

Associate Professor and Senior Consultant, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

We evaluated the surgical outcomes of Haglund's triad using a central tendon-splitting approach, with Achilles tendon partial detachment and debridement, excision of the retrocalcaneal bursa, resection of Haglund's prominence, and reattachment of the Achilles tendon. The medical records of 22 patients (22 heels) who had undergone surgical correction of Haglund's triad from January 2010 to December 2015 were reviewed retrospectively. The visual analog scale pain score, American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scale score, and 36-item Short-Form Health Survey physical and mental component scores were prospectively collected preoperatively, 6 months postoperatively, and at the last visit. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.05.015DOI Listing
July 2018
29 Reads

The Achilles tendon and the retrocalcaneal bursa: An anatomical and radiological study.

Bone Joint Res 2017 Jul;6(7):446-451

Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland and Department of Orthopaedics and Trauma Surgery, 5th Military Clinical Hospital, Krakow, Poland

Objectives: Inflammation of the retrocalcaneal bursa (RB) is a common clinical problem, particularly in professional athletes. RB inflammation is often treated with corticosteroid injections however a number of reports suggest an increased risk of Achilles tendon (AT) rupture. The aim of this cadaveric study was to describe the anatomical connections of the RB and to investigate whether it is possible for fluid to move from the RB into AT tissue. Read More

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http://online.boneandjoint.org.uk/doi/10.1302/2046-3758.67.B
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http://dx.doi.org/10.1302/2046-3758.67.BJR-2016-0340.R1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5539307PMC
July 2017
7 Reads

Ultrasound of ankles in the diagnosis of complications of chikungunya fever.

Radiol Bras 2017 Mar-Apr;50(2):71-75

PhD, Adjunct Professor of Rheumatology at the Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil.

Objective: To describe the main ultrasound findings of chikungunya fever in the ankle.

Materials And Methods: This was a cross-sectional observational study involving 52 patients referred to the Hospital Universitário Pedro Ernesto and presenting with clinical and biochemical evidence of chikungunya fever. The examinations were performed by a radiologist with more than 20 years of experience in ultrasound. Read More

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http://dx.doi.org/10.1590/0100-3984.2016.0221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396995PMC
April 2017
32 Reads

Treatment of Insertional Achilles Pathology With Dorsal Wedge Calcaneal Osteotomy in Athletes.

Foot Ankle Int 2017 Apr 5;38(4):381-387. Epub 2016 Dec 5.

1 1st Orthopaedic Department, 424 Military General Hospital, Thessaloniki, Hellas.

Background: Insertional Achilles tendinopathy and retrocalcaneal bursitis is difficult to treat, and several operative techniques have been used after failure of conservative management. Dorsal wedge calcaneal osteotomy has been described for the treatment of insertional Achilles pathology. It was hypothesized that dorsal wedge calcaneal osteotomy would be an effective and safe method for the treatment of athletes with insertional Achilles pathology unrelieved by nonoperative measures. Read More

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http://dx.doi.org/10.1177/1071100716681139DOI Listing
April 2017
19 Reads

MR Imaging Findings in Heel Pain.

Magn Reson Imaging Clin N Am 2017 Feb;25(1):79-93

Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA. Electronic address:

Heel pain is common and due to a variety of osseous and soft tissue disorders. Causes of heel pain can be classified by the anatomic structure in which they arise and include disorders of the (1) Achilles tendon, (2) plantar fascia, (3) calcaneus, (4) bursae, (5) nerves in the hindfoot, (6) and heel pad. Although careful history taking and physical examination are important, imaging plays a vital role in the diagnosis and management of heel pain. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10649689163006
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http://dx.doi.org/10.1016/j.mric.2016.08.011DOI Listing
February 2017
20 Reads

MR imaging as a problem solving tool in posterior ankle pain: A review.

Eur J Radiol 2016 Dec 17;85(12):2238-2256. Epub 2016 Oct 17.

Department of Radiology, Changi General Hospital, 2 Simei Street 3, 529889, Singapore. Electronic address:

Posterior ankle pain is a cause of chronic pain and disability, afflicting a wide range of individuals. While proper identification of the cause is essential for timely and adequate treatment, identifying the cause and excluding mimickers is often challenging for the physician due to the complex nature of the joint. In addition, pathology that can cause posterior ankle pain may occur on their own or in co-existence. Read More

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http://dx.doi.org/10.1016/j.ejrad.2016.10.016DOI Listing
December 2016
20 Reads

Retrocalcaneal Bursitis due to Rare Calcaneal Osteochondroma in Adult Male : Excision and Outcome.

J Orthop Case Rep 2016 Apr-Jun;6(2):16-19

Department of Orthopedics, V.M Medical College and safdarjung hospital, New Delhi. India.

Introduction: Osteochondroma is the most common benign tumour of the bone and is considered as developmental lesion of the bone. Common site of osteochondroma presentation is around the knee but calcaneal osteochondroma as such is a rare entity. Osteochondromas grow during childhood through adolescence, but usually the growth of osteochondroma ends when the epiphyseal plates close. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040561PMC
http://dx.doi.org/10.13107/jocr.2250-0685.410DOI Listing
October 2016
14 Reads

A Proposed Staging Classification for Minimally Invasive Management of Haglund's Syndrome with Percutaneous and Endoscopic Surgery.

Foot Ankle Clin 2016 Sep;21(3):641-64

Cardiff Regional Foot & Ankle Surgery Unit, Department of Trauma & Orthopaedic Surgery, University Hospital Llandough & University Hospital Wales, Cardiff & Vale University Health Board, Penlan Road, Llandough, Wales, CF64 2XX, UK.

Haglund's syndrome encompasses several different pathologies, including Haglund's deformity, insertional Achilles tendonopathy, retrocalcaneal bursitis, and superficial bursitis. Traditionally treated with open surgery, there is increasing interest in a more minimally invasive approach to this difficult region to reduce complications and improve the rate and ease of recovery. We review the evidence available for 2 of these techniques: the endoscopic calcaneoplasty and percutaneous Zadek's calcaneal osteotomy (also known as Keck and Kelly's osteotomy). Read More

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http://dx.doi.org/10.1016/j.fcl.2016.04.004DOI Listing
September 2016
24 Reads
2 Citations
0.844 Impact Factor

Ultrasonography Role in Evaluation of Achilles Tendon Enthesis in Reactive Arthritis Patients.

Curr Health Sci J 2016 Jul-Sep;42(3):263-268. Epub 2016 Sep 29.

Emergency County Hospital Craiova, Dep. of Rheumatology.

Reactive arthritis is an inflammatory joint disease which develops after 1-4 weeks following an enteral, genital or ORL infection, with a higher frequency in HLA-B27 positive patients. As a group feature, enthesitis is defined as inflammation in bone insertions of tendons, ligaments and muscular fascia. Aims: the main object of this study was to demonstrate the importance of musculoskeletal ultrasonography in Achilles tendon evaluation in patients with reactive arthritis. Read More

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http://dx.doi.org/10.12865/CHSJ.42.03.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6269608PMC
September 2016
1 Read

Different distributions of operative diagnoses for Achilles tendon overuse injuries in Italian and Finnish athletes.

Muscles Ligaments Tendons J 2016 Jan-Mar;6(1):111-5. Epub 2016 May 19.

Hospital Neo, Turku, Finland.

Background: the origin of chronic Achilles tendinopathy (AT) is currently unclear and epidemiological factors, such as ethnicity, may be associated.

Methods: intraoperative findings from the treatment of 865 Finnish and 156 Italian athletic patients with chronic Achilles tendon related pain were evaluated, retrospectively. The mean age was 34 years (range, 18 to 65 years) in the Finnish and 29 years (range, 17-63 years) in the Italian patients. Read More

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http://www.mltj.org/common/php/portiere.php?ID=01ac42c419e0e
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http://dx.doi.org/10.11138/mltj/2016.6.1.111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915449PMC
June 2016
23 Reads

Fluoroscopically guided retrocalcaneal bursa steroid injection: description of the technique and pilot study of short-term patient outcomes.

Skeletal Radiol 2016 Aug 28;45(8):1107-12. Epub 2016 Mar 28.

Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY, 10467, USA.

Objective: To describe a lateral fluoroscopically guided retrocalcaneal bursa injection technique, report patient outcomes at 1-4 weeks after steroid/anesthetic retrocalcaneal bursal therapeutic injection, and correlate pre-injection diagnostic heel ultrasound variables with improvement in patient pain scores.

Materials And Methods: After IRB approval, fluoroscopically guided therapeutic retrocalcaneal bursa injections performed using a lateral approach were retrospectively reviewed. Pre-injection heel ultrasound results and pre- and post-injection patient VAS pain scores (scale 0-10) were recorded. Read More

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http://link.springer.com/10.1007/s00256-016-2368-9
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http://dx.doi.org/10.1007/s00256-016-2368-9DOI Listing
August 2016
10 Reads

Haglund's syndrome. Two case reports.

Reumatol Clin 2017 Jan - Feb;13(1):37-38. Epub 2016 Feb 8.

Servicio de Rehabilitación, Hospital Universitario La Paz, Madrid, España.

Haglund's syndrome produces posterior impingement of the heel, which is caused by a posterosuperior calcaneal exostosis, known as Haglund's deformity, associated with Achilles tendinitis and retrocalcaneal bursitis. Its pathogenesis is unknown. We report two cases that were diagnosed clinically and confirmed radiographically. Read More

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http://dx.doi.org/10.1016/j.reuma.2015.12.006DOI Listing
September 2017
19 Reads

Evidence-based indications for hindfoot endoscopy.

Knee Surg Sports Traumatol Arthrosc 2016 Apr 7;24(4):1386-95. Epub 2016 Jan 7.

Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam Zuid-Oost, The Netherlands.

Purpose: The 2-portal hindfoot endoscopic technique with the patient in prone position, first introduced by van Dijk et al. (Arthroscopy 16:871-876, 2000), is currently the most used by foot and ankle surgeons to address endoscopically pathologies located in the hindfoot. This article aims to review the literature to provide a comprehensive description of the level of evidence available to support the use of the 2-portal hindfoot endoscopy technique for the current generally accepted indications. Read More

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http://dx.doi.org/10.1007/s00167-015-3965-1DOI Listing
April 2016
3 Reads

Achilles Tendinitis.

J Surg Orthop Adv 2015 ;24(3):198-202

Achilles tendinitis is a common etiology of heel pain, which is a common patient complaint. Achilles tendinitis can be classified into noninsertional tendinosis and insertional tendinitis on the basis of clinical features, radiologic signs, and pathologic findings. Magnetic resonance imaging (MRI) allows classification and reveals associated findings, including retrocalcaneal bursitis, paratendinitis, and paratenonitis. Read More

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April 2016
4 Reads

Lower Extremity Overuse Conditions Affecting Figure Skaters During Daily Training.

Orthop J Sports Med 2015 Jul 28;3(7):2325967115596517. Epub 2015 Jul 28.

Department of Neurology and Center for Neuroscience, University of California-Davis, Davis, California, USA.

Background: Most ice figure skaters train and compete with ongoing issues in the lower extremities, which are often overlooked by the skaters and considered injuries only when they prevent the athletes from skating. Although not severe, these conditions impair the quality of daily training and compromise the skaters' state of mind and performances.

Purpose: (1) To determine the point prevalence of the ongoing lower extremity overuse conditions in a population of ice figure skaters of all ages and levels and (2) to identify the risk factors contributing to the development of the most common ongoing conditions. Read More

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http://dx.doi.org/10.1177/2325967115596517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622334PMC
July 2015
102 Reads

Flexor Hallucis Longus Tendon Transfer for Calcific Insertional Achilles Tendinopathy.

Clin Podiatr Med Surg 2016 Jan 13;33(1):113-23. Epub 2015 Aug 13.

Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. Electronic address:

Calcific insertional Achilles tendinopathy can result in significant pain and disability. Although some patients respond to nonoperative therapy, many patients are at risk for long-term morbidity and unpredictable clinical outcomes. There is no evidence-based data to support the timing of operative invention, choice of procedures, or whether equinus requires treatment. Read More

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http://www.josonline.org/pdf/v17i2p194.pdf
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http://linkinghub.elsevier.com/retrieve/pii/S089184221500069
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http://dx.doi.org/10.1016/j.cpm.2015.07.002DOI Listing
January 2016
48 Reads

Macroscopic Anomalies and Pathological Findings in and Around the Achilles Tendon: Observations From 1661 Operations During a 40-Year Period.

Orthop J Sports Med 2014 Dec 19;2(12):2325967114562371. Epub 2014 Dec 19.

Hospital Neo, Turku, Finland.

Background: Nonsurgical treatments for chronic Achilles tendinopathy (AT) results in unpredictable success rates. Surgical treatment may be chosen as reports show mostly encouraging but variable success rates depending on the pathology. The distribution of surgically confirmed pathologies in AT is largely unknown. Read More

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http://dx.doi.org/10.1177/2325967114562371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555527PMC
December 2014
8 Reads

Operative Treatment of Haglund Syndrome With Central Achilles Tendon-Splitting Approach.

J Foot Ankle Surg 2015 Nov-Dec;54(6):1053-6. Epub 2015 Jul 29.

Clinical Assistant Professor, Department of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. Electronic address:

Haglund syndrome is characterized by chronic posterior heel pain associated with a posterosuperior calcaneal prominence. We assessed the clinical and radiologic outcomes after operative treatment of Haglund syndrome using the central tendon-splitting approach. Fifteen feet in 15 patients were investigated retrospectively after surgery. Read More

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http://dx.doi.org/10.1053/j.jfas.2015.05.002DOI Listing
August 2016
23 Reads

Everything Achilles: Knowledge Update and Current Concepts in Management: AAOS Exhibit Selection.

J Bone Joint Surg Am 2015 Jul;97(14):1187-95

Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003. E-mail address for C.A. Uquillas:

Achilles tendon pathology is common and affects athletes and nonathletes alike. The cause is multifactorial and controversial, involving biological, anatomical, and mechanical factors. A variety of conditions characterized by Achilles tendon inflammation and/or degeneration can be clinically and histologically differentiated. Read More

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http://dx.doi.org/10.2106/JBJS.O.00002DOI Listing
July 2015
91 Reads

Performance of ultrasound to monitor Achilles enthesitis in patients with ankylosing spondylitis during TNF-a antagonist therapy.

Clin Rheumatol 2015 Jun 21;34(6):1073-8. Epub 2015 Apr 21.

Department of Clinical Immunology, Xijing Hospital, First Affiliated Hospital of Fourth Military Medical University, Xi'an, People's Republic of China,

Enthesitis is considered as the primary anatomical lesion in ankylosing spondylitis (AS). We aimed to investigate the potential of ultrasound to detect early changes after TNF-a antagonist therapy of Achilles enthesitis of AS patients. One hundred AS patients with active disease, requiring TNF-a antagonist therapy, were included (etanercept n = 25, infliximab n = 25, adalimumab n = 25, non-biologic disease-modifying antirheumatic drugs (DMARDs) n = 25). Read More

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http://dx.doi.org/10.1007/s10067-015-2939-5DOI Listing
June 2015
8 Reads

Safety of achilles detachment and reattachment using a standard midline approach to insertional enthesophytes.

J Foot Ankle Surg 2015 Mar-Apr;54(2):214-9. Epub 2015 Jan 22.

Fellowship Director, Advanced Foot and Ankle Surgical Fellowship, Orthopedic Foot and Ankle Center, Westerville, OH. Electronic address:

Detachment with reattachment of the Achilles tendon is a common surgery for debridement of retrocalcaneal exostosis, bursitis, and other insertional pathologic entities. The technique involves a midline skin incision on the posterior Achilles to the tendon. The distal Achilles attachment is removed in a U-shaped manner, leaving the medial and lateral flares, but exposing the posterior spur. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516140063
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http://dx.doi.org/10.1053/j.jfas.2014.12.009DOI Listing
November 2015
11 Reads

Results of operative treatment for recalcitrant retrocalcaneal bursitis and midportion Achilles tendinopathy in athletes.

Arch Orthop Trauma Surg 2014 Aug 17;134(8):1073-81. Epub 2014 Jun 17.

Institute for Sports Medicine Frankfurt am Main , Otto-Fleck-Schneise 10, 60528, Frankfurt/Main, Germany,

Background: The results of operative treatment for recalcitrant midportion Achilles tendinopathy and recalcitrant retrocalcaneal bursitis were evaluated using the patient administered, disease specific, and validated VISA-A-G questionnaire.

Methods: A cohort of 89 patients was prospectively followed. These patients underwent operations for sport induced midportion Achilles tendinopathy (39 procedures) or retrocalcaneal bursitis (55 procedures). Read More

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http://www.smi-frankfurt.de/English/English/Sonstiges/images
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http://link.springer.com/content/pdf/10.1007%2Fs00402-014-20
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http://link.springer.com/10.1007/s00402-014-2030-8
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http://dx.doi.org/10.1007/s00402-014-2030-8DOI Listing
August 2014
25 Reads

Complete Achilles tendon rupture after local infiltration of corticosteroids in the treatment of deep retrocalcaneal bursitis.

J Ultrasound 2014 Jun 29;17(2):165-7. Epub 2014 Jan 29.

Institute of Radiology, The IRCCS Foundation Policlinico San Matteo, University of Pavia, Piazzale Golgi 2, Pavia, Italy.

Complete rupture of the Achilles tendon is relatively rare, but it is an injury of considerable clinical relevance. A common cause of non-traumatic tendon rupture is local corticosteroid infiltration. Corticosteroid injections may start a degenerative process resulting in partial rupture and subsequent complete rupture of the tendon due to a direct toxic effect, because corticosteroids inhibit production of extracellular matrix collagen and also because of poor local vascularization. Read More

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http://link.springer.com/10.1007/s40477-014-0066-9
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http://dx.doi.org/10.1007/s40477-014-0066-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033727PMC
June 2014
4 Reads

An intraosseous lipoma of the calcaneus: a case report.

J Foot Ankle Surg 2014 Sep-Oct;53(5):638-42. Epub 2014 May 27.

Residency Director, West Houston Medical Center, Houston, TX.

Intraosseous lipomas are one of the rarest bone tumors found in the body. The incidence has been reported to be <0.1% of all primary bone tumors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516140010
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http://dx.doi.org/10.1053/j.jfas.2014.03.007DOI Listing
June 2015
23 Reads

The appearance of the pre-Achilles fat pad after endoscopic calcaneoplasty.

Knee Surg Sports Traumatol Arthrosc 2015 Aug 1;23(8):2400-2405. Epub 2014 Mar 1.

Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands.

Purpose: To evaluate whether the imaging features of the retrocalcaneal recess normalize on a conventional radiograph after surgery for retrocalcaneal bursitis and evaluate whether it can be reused if complaints reoccur.

Methods: Patients who underwent an endoscopic calcaneoplasty at least 2 years before were eligible for inclusion. A lateral conventional radiograph of the surgically treated hindfoot was made to assess the retrocalcaneal recess and pre-Achilles fat pad; images were analysed, clinical complaints were registered and evaluated. Read More

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http://link.springer.com/10.1007/s00167-014-2908-6
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http://dx.doi.org/10.1007/s00167-014-2908-6DOI Listing
August 2015
20 Reads

Achilles tendon disorders.

Med Clin North Am 2014 Mar;98(2):331-8

Foot and Ankle Service, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address:

Achilles tendon disorders include tendinosis, paratenonitis, insertional tendinitis, retrocalcaneal bursitis, and frank rupture. Patients present with pain and swelling in the posterior aspect of the ankle. Magnetic resonance imaging and ultrasound are helpful in confirming the diagnosis and guiding treatment. Read More

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http://dx.doi.org/10.1016/j.mcna.2013.11.005DOI Listing
March 2014
6 Reads

Retrocalcaneal bursitis but not Achilles tendinopathy is characterized by increased pressure in the retrocalcaneal bursa.

Clin Biomech (Bristol, Avon) 2014 Mar 9;29(3):283-8. Epub 2013 Dec 9.

Institute for Sports Medicine, Otto-Fleck-Schneise 10, D-60528 Frankfurt am Main, Germany.

Background: We questioned whether different forms of Achilles tendon overuse injuries can be differentiated by retrocalcaneal bursa pressure measurement.

Methods: Retrocalcaneal bursa pressure was determined by using invasive pressure measurement in patients suffering from retrocalcaneal bursitis (n=13) or Achilles tendinopathy (n=15), respectively. Standardized measurements were taken with the subject lying prone. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S026800331300305
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http://dx.doi.org/10.1016/j.clinbiomech.2013.12.002DOI Listing
March 2014
15 Reads

Can local corticosteroid injection in the retrocalcaneal bursa lead to rupture of the Achilles tendon and the medial head of the gastrocnemius muscle?

Musculoskelet Surg 2014 Aug 13;98(2):121-6. Epub 2013 Nov 13.

High Performance Center (CAR de Sant Cugat Consorci Sanitari de Terrassa), Barcelona, Spain.

Purpose: The purpose of the study is to explain the cause-effect relationship in three patients who reported combined ruptures of the Achilles tendon and the gastrosoleus complex 6 months after they had received corticosteroids injections for the management of retrocalcaneal bursitis.

Methods: Three cryopreserved cadavers (three men, three left legs) were examined to assess the anatomic connection between the retrocalcaneal bursa and the Achilles tendon (distal and anterior fibers). Blue triptan medium contrast was injected. Read More

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http://link.springer.com/10.1007/s12306-013-0305-9
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http://dx.doi.org/10.1007/s12306-013-0305-9DOI Listing
August 2014
11 Reads

Ultrasound-assisted calcaneoplasty.

Knee Surg Sports Traumatol Arthrosc 2014 Sep 26;22(9):2250-3. Epub 2013 Sep 26.

University Hospital for Orthopaedic Surgery Lovran, Marsala Tita 1, 51415, Lovran, Croatia,

Purpose: The endoscopic technique for resection of a postero-superior part of calcaneus served as a golden standard during the last 10 years, and it has mostly replaced the open techniques. In an effort to reduce the morbidity and the recovery time, we had introduced the ultrasound-assisted technique.

Methods: In the period of 1 year, 15 patients with the prominent postero-superior part of calcaneus and retrocalcaneal bursitis were operated through the single skin incision using the ultrasound-assisted technique. Read More

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http://dx.doi.org/10.1007/s00167-013-2692-8DOI Listing
September 2014
13 Reads

Endoscopic calcaneoplasty: 5-year results.

Acta Orthop Traumatol Turc 2013 ;47(4):261-5

Department of Orthopedics and Traumatology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey.

Objective: The aim of this study was to evaluate the results of the endoscopic calcaneoplasty technique for the treatment of retrocalcaneal bursitis and Haglund's disease.

Methods: This study included 30 feet of 28 patients who underwent endoscopic surgery for Haglund's disease between 2003 and 2011. The inflamed bursa and posterosuperior surface of the calcaneus were removed with a shaver and bone resection performed until there was no friction on the Achilles tendon with the ankle in dorsiflexion. Read More

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April 2014
35 Reads

Retrocalcaneal pain after the repair of acute Achilles tendon rupture.

Authors:
Tun Hing Lui

Foot Ankle Spec 2013 Aug 27;6(4):323-7. Epub 2013 Jun 27.

Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.

Unlabelled: Pain in the posterosuperior portion of the calcaneus can be caused by a retrocalcaneal bursitis, enlargement of the superior bursal prominence of the calcaneus, insertional Achilles tendinopathy, stress fracture of the calcaneus, or inflammation of an adventitious bursa between the Achilles tendon and the skin. Hypertrophied tendon impinging on the posterosuperior calcaneal tuberosity can be a cause of retrocalcaneal pain after repair of acute rupture of the Achilles tendon. This can be effectively treated by endoscopic calcaneoplasty. Read More

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http://dx.doi.org/10.1177/1938640013493462DOI Listing
August 2013
9 Reads

Biomechanical properties of double- and single-row suture anchor repair for surgical treatment of insertional Achilles tendinopathy.

Am J Sports Med 2013 Jul 3;41(7):1642-8. Epub 2013 May 3.

Department of Trauma and Orthopaedic Surgery, Trauma Center Murnau, Murnau, Germany.

Background: Because of intratendinous ossifications, retrocalcaneal bursitis, or intratendinous necrosis commonly found in insertional tendinosis, it is often necessary to detach the tendon partially or entirely from its tendon-to-bone junction.

Hypothesis: Double-row repair for insertional Achilles tendinopathy will generate an increased contact area and demonstrate higher biomechanical stability.

Study Design: Controlled laboratory study. Read More

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http://journals.sagepub.com/doi/10.1177/0363546513487061
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http://dx.doi.org/10.1177/0363546513487061DOI Listing
July 2013
18 Reads

Foot overuse diseases in rock climbing: an epidemiologic study.

J Am Podiatr Med Assoc 2013 Mar-Apr;103(2):113-20

Rizzoli Orthopedic Institute-II Orthopedic Clinic, Bologna, Italy.

Background: Literature examining the incidence of foot diseases in rock climbing is limited to traumatic injuries. We examined a large sample of climbers, assessed the chronic diseases of the foot, and correlated them with foot morphology, shoe type, and type of climbing practiced.

Methods: Between May 1 and September 30, 2009, 144 climbers (mean age, 31. Read More

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December 2013
12 Reads

Achilles enthesis ultrasound: the importance of the bursa in spondyloarthritis.

Clin Exp Rheumatol 2013 May-Jun;31(3):422-7. Epub 2013 Mar 7.

Rheumatology Department, Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Lisbon, Portugal.

Objectives: This paper aims to assess the prevalence and relevance of the bursa-synovial lesion in spondyloarthritis (SpA).

Methods: A transversal blind and controlled two-dimensional (2D) and three-dimensional (3D) ultrasound (US) study of Achilles enthesis bursa in early SpA was undertaken. Clinical outcome measures were collected. Read More

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August 2013
8 Reads

Haglund syndrome with pump bump.

Med Arch 2012 ;66(6):425-7

Department of Physical Medicine and Rehabilitation. Meram School of Medicine. Necmettin Erbakan University, Konya, Turkey.

Haglund's syndrome, which is an inflammation of the bursa and a bony enlargement on the back of the heel that most often leads to painful bursitis, is a rare cause of retrocalcaneal pain. The clinical diagnosis is often confusing as the clinical picture may mimic other causes of hindfoot pain such as isolated retrocalcaneal bursitis or hindfoot involvement from more systemic disorders such as seronegative spondyloarthropathies (Reiter's syndrome, ankylosing spondylitis) or rheumatoid arthritis. This report is of a 60-year-old woman with a painful swelling of the right heel, who was diagnosed with Haglund syndrome. Read More

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August 2013
16 Reads

Outcome of endoscopic decompression of retrocalcaneal bursitis.

Indian J Orthop 2012 Nov;46(6):659-63

Department of Orthopedics, Mamata Medical College, Giriprasad Nagar, Khammam, A.P., India.

Background: Posterior heel pain due to retrocalcaneal bursitis, is a disabling condition that responds well to the conventional methods of treatment. Patients who do not respond to conservative treatment may require surgical intervention. This study evaluates the outcome of endoscopic decompression of retrocalcaneal bursitis, with resection of posterosuperior eminence of the calcaneum. Read More

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http://www.ijoonline.com/text.asp?2012/46/6/659/104201
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http://dx.doi.org/10.4103/0019-5413.104201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543883PMC
November 2012
12 Reads

Ultrasound examination of symptomatic ankles in shorter-duration rheumatoid arthritis patients often reveals tenosynovitis.

Clin Exp Rheumatol 2013 Mar-Apr;31(2):281-4. Epub 2012 Dec 6.

Division of Rheumatology, Mitsui Memorial Hospital, Tokyo, Japan.

Objectives: This study investigated the frequency and characteristics of various pathologies in symptomatic ankles in RA patients, especially early RA patients, using power Doppler ultrasound (PDUS).

Methods: We analysed consecutive records of 100 ankles in 74 RA patients who had PDUS scans of symptomatic ankles in our department. The association between US findings and disease duration was analysed. Read More

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June 2013
2 Reads

Achilles tendon biomechanics in psoriatic arthritis patients with ultrasound proven enthesitis.

Scand J Rheumatol 2013 3;42(4):299-302. Epub 2013 Jan 3.

Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, UK.

Objective: To investigate Achilles tendon (AT) biomechanics in psoriatic arthritis (PsA) patients with ultrasound confirmed features of enthesitis.

Method: PsA patients and healthy control subjects underwent three-dimensional (3D) gait analysis to measure walking speed, rotational joint motion and the moments, power, and AT force at the ankle-subtalar joint complex. The Glasgow Ultrasound Enthesitis Scoring System (GUESS) was used to score the presence of enthesophytes, erosions, retrocalcaneal bursitis, and tendon thickening. Read More

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http://dx.doi.org/10.3109/03009742.2012.747626DOI Listing
September 2013
2 Reads

Endoscopic calcaneoplasty: an improved technique.

J Surg Orthop Adv 2012 ;21(3):176-80

Department of Orthopaedics, Emory University, Atlanta, GA, USA.

Haglund's syndrome is a triad of posterosuperior calcaneal prominence, retrocalcaneal bursitis, and insertional Achilles tendonitis. Endoscopic treatment of patients with this triad allows for earlier weight bearing, direct visualization of the Achilles insertion, and less soft tissue disruption. In addition, it allows excellent visualization of the pathology. Read More

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January 2013
21 Reads

Ultrasound-guided injection treatment of retrocalcaneal bursitis.

Am J Phys Med Rehabil 2012 Jul;91(7):635-7

Department of Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital, Gueishan, Taoyuan County, Taiwan.

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/PHM.0b013e31825a15d5DOI Listing
July 2012
18 Reads

Surgical treatment of chronic retrocalcaneal bursitis.

Arthroscopy 2012 Feb;28(2):283-93

Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Purpose: The purpose of this systematic review was to analyze the results of surgical treatments for chronic retrocalcaneal bursitis (RB).

Methods: Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase, and the Cochrane Library (1945 to December 2010) were systematically searched for the following terms: calcaneal AND (prominence OR exostosis) OR ((retrocalcaneal OR calcan(*)) AND (burs(*) OR exosto(*) OR prominence)) OR Haglund[tw] OR Haglund's[tw] OR ((retrocalcaneal OR calcan(*)) AND (ostectom(*) OR osteotom(*) OR resect(*))). Therapeutic studies on 10 or more subjects with RB were eligible. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S074980631101203
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http://dx.doi.org/10.1016/j.arthro.2011.09.019DOI Listing
February 2012
9 Reads

Ultrasonographic findings of Achilles tendon and plantar fascia in patients with calcium pyrophosphate deposition disease.

Clin Rheumatol 2012 Apr 28;31(4):697-704. Epub 2011 Dec 28.

Rheumatology and Rehabilitation Department, Minia University, Minia, Egypt.

The aims of the study were to detect the frequency of involvement of the Achilles tendon and plantar fascia in patients with calcium pyrophosphate deposition disease (CPPD) by high-frequency gray-scale ultrasonography (US) and power Doppler sonography (PDS) and to correlate these findings with demographic and clinical data. Two groups of patients were enrolled: group I (38 patients with CPPD) and group II (22 patients with knee OA). US/PDS examination of the heels was performed to both groups. Read More

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http://dx.doi.org/10.1007/s10067-011-1911-2DOI Listing
April 2012
28 Reads