213 results match your criteria Retrocalcaneal Bursitis


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.

View Article
October 2018
3 Reads

Sonographic appearance of fluid in peripheral joints and bursae of healthy asymptomatic Chinese population.

Quant Imaging Med Surg 2018 Sep;8(8):781-787

Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, China.

Background: High frequency ultrasound is often used to measure the thickness of fluid in peripheral joints and bursae of healthy asymptomatic populations. Two major steps critical to this procedure are obtaining the detection rates and analyzing the relevant factors.

Methods: Healthy Chinese adult volunteers with no history of arthritis, past trauma or surgery and joint pain were enrolled in this study. Read More

View Article
September 2018
3 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

View Article
January 2018
6 Reads

[Surgical Treatment of the Achilles Insertional Tendinopathy Using the Augmentation with the BT Graft from M. Quadriceps Femoris].

Acta Chir Orthop Traumatol Cech 2018 ;85(4):266-270

Ortopedicko-traumatologické oddělení, Nemocnice Znojmo.

PURPOSE OF THE STUDY The aim of the prospective study was to evaluate the effectiveness of the Achilles insertion tendinopathy treatment, focusing on the evaluation of results in patients treated for retrocalcaneal pain, and to review the outcomes following the surgical treatment by means of Achilles tendon reinforcement with the bone-tendon autograft (BT). MATERIAL AND METHODS The group comprised 18 patients, 10 men and 8 women, who were surgically treated with in line with the described surgical protocol. The group was treated at the author s department in the period 2013-2016. Read More

View Article
January 2018
2 Reads

Radiologic features in symptomatic/asymptomatic heels of patients with ankylosing spondylitis.

Int J Rheum Dis 2018 Sep 5. Epub 2018 Sep 5.

Department of Orthopedic Surgery, School of Medicine, Hanyang University, Seoul, Korea.

Aim: Most heel pain occurs at the posterior or plantar aspect, where main entheses of the heel are located. However, simple radiographs as basic work-up tools, their features based on their association with local symptoms in the heel in ankylosing spondylitis (AS) patients, have rarely been described.

Method: Forty patients with AS and unilateral heel pain were enrolled to evaluate radiographic differences between symptomatic and asymptomatic heels. Read More

View Article
September 2018
18 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

View Article
June 2018
3 Reads

Cutaneous fibrolipomatous hamartoma: Report of 2 cases with retrocalcaneal location.

Pediatr Dermatol 2018 Jul 15;35(4):498-501. Epub 2018 May 15.

Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA.

Precalcaneal congenital fibrolipomatous hamartoma is an underreported benign entity that has been described in the literature under different names. We present two cases of unilateral fibrolipomatous hamartoma (FLH) appearing in a unique location: on the posterior aspect of the foot overlying the heel. We propose the term "FLH of the skin" as a more inclusive and less confusing term for this condition, thus allowing distinction with FLH arising from neural tissue. Read More

View Article
July 2018
2 Reads

Knockout of hyaluronan synthase 1, but not 3, impairs formation of the retrocalcaneal bursa.

J Orthop Res 2018 Oct 13;36(10):2622-2632. Epub 2018 Jul 13.

Department of Bioengineering, University of Illinois at Chicago, 851 S. Morgan Street, Chicago, Illinois, 60607.

Hyaluronan (HA), a high molecular weight non-sulfated glycosaminoglycan, is an integral component of the extracellular matrix of developing and mature connective tissues including tendon. There are few published reports quantifying HA content during tendon growth and maturation, or detailing its effects on the mechanical properties of the tendon extracellular matrix. Therefore, the goal of the current study was to examine the role of HA synthesis during post-natal skeletal growth and maturation, and its influence on tendon structure and biomechanical function. Read More

View Article
October 2018
1 Read

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

View Article
December 2018
8 Reads

Heel Pain: Diagnosis and Management.

Authors:
Priscilla Tu

Am Fam Physician 2018 Jan;97(2):86-93

Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, VA, USA.

The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. The specific anatomic location of the pain can help guide diagnosis. The most common diagnosis is plantar fasciitis, which leads to medial plantar heel pain, especially with the first weight-bearing steps after rest. Read More

View Article
January 2018
5 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

View Article
October 2018
29 Reads
1 Citation
0.980 Impact Factor

Failed synthetic graft after acute Achilles tendon repair.

Muscles Ligaments Tendons J 2017 Apr-Jun;7(2):396-402. Epub 2017 Sep 18.

Head of Department of Orthopaedics and Traumatology, Azienda Ospedaliera San Giovanni di Dio e Ruggi d'Aragona, University of Salerno, Italy; Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK.

Background: The present case report aimed to determine the results of Flexor Hallucis Longus (FHL) transfer as a second surgery after synthetic tissue reinforcement graft (Artelon) implanted to a primary repaired Achilles tendon (AT), that was undertaken by another orthopedic. One year post-operative the patient was referred to us with retrocalcaneal pain and difficulty in walking, associated with stiffness and significant impairment of daily living activities.

Methods: MRI and full clinical examination were the outcome measures applied before and 1 year after surgery. Read More

View Article
September 2017
3 Reads

[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

View Article
December 2017
21 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

View Article
August 2017
24 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

View Article
July 2018
22 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

View Article
July 2017
6 Reads

Acral angioleiomyoma with tumoral calcinosis: a complication of the insertional Achilles tendinopathy.

J Cutan Pathol 2017 May 11. Epub 2017 May 11.

Department of Pathology, University General Hospital, Valencia, Spain.

View Article
May 2017
11 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

View Article
April 2017
24 Reads

Long-Term Outcome and Factors Affecting Prognosis of Extracorporeal Shockwave Therapy for Chronic Refractory Achilles Tendinopathy.

Ann Rehabil Med 2017 Feb 28;41(1):42-50. Epub 2017 Feb 28.

Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Objective: To investigate the factors affecting prognosis of extracorporeal shockwave therapy (ESWT) for chronic refractory Achilles tendinopathy (AT).

Methods: Thirty-six patients (48 consecutive feet) with chronic AT (>6 months) and who underwent ESWT for 'poor' or 'fair' grade in Roles-Maudsley Score (RMS) after unsuccessful conservative treatment were included in the present study. A maximum of 12 sessions of ESWT were conducted until treatment success: RMS reached 'good' or 'excellent'. Read More

View Article
February 2017
10 Reads

Achilles Impingement Tendinopathy on Magnetic Resonance Imaging.

J Foot Ankle Surg 2017 May - Jun;56(3):555-563. Epub 2017 Feb 28.

Research Assistant, St. John Hospital and Medical Center, Detroit, MI.

Haglund's syndrome is impingement of the retrocalcaneal bursa and Achilles tendon caused by a prominence of the posterosuperior calcaneus. Radiographic measurements are not sensitive or specific for diagnosing Haglund's deformity. Localization of a bone deformity and tendinopathy in the same sagittal section of a magnetic resonance imaging scan can assist with the diagnosis in equivocal cases. Read More

View Article
November 2017
4 Reads

Insertional Achilles Tendinopathy.

Authors:
Gage M Caudell

Clin Podiatr Med Surg 2017 Apr 23;34(2):195-205. Epub 2016 Dec 23.

Fort Wayne Orthopedics, 7601 West Jefferson Boulevard, Fort Wayne, IN 46804, USA. Electronic address:

Posterior heel pain is a common condition of the foot and ankle and is seen in a variety of foot types. Nonoperative treatment methods consisting of shoes inserts, heel lifts, stretching, physical therapy, nonsteroidal antiinflammatory drugs, eccentric strength training, and other modalities have been shown to have mixed results. When indicated, surgical repair can produce good long-term results. Read More

View Article
April 2017
7 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

View Article
April 2017
18 Reads

A 3D model of the Achilles tendon to determine the mechanisms underlying nonuniform tendon displacements.

J Biomech 2017 01 28;51:17-25. Epub 2016 Nov 28.

Department of Biomedical Engineering, University of Virginia, United States; Department of Orthopaedic Surgery, University of Virginia, United States; Department of Mechanical and Aerospace Engineering, University of Virginia, United States. Electronic address:

The Achilles is the thickest tendon in the body and is the primary elastic energy-storing component during running. The form and function of the human Achilles is complex: twisted structure, intratendinous interactions, and differential motor control from the triceps surae muscles make Achilles behavior difficult to intuit. Recent in vivo imaging of the Achilles has revealed nonuniform displacement patterns that are not fully understood and may result from complex architecture and musculotendon interactions. Read More

View Article
January 2017
5 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

View Article
February 2017
15 Reads

Haglund's Syndrome: A Commonly Seen Mysterious Condition.

Cureus 2016 Oct 7;8(10):e820. Epub 2016 Oct 7.

Orthopaedics, Indraprastha Apollo Hospitals.

Haglund's deformity was first described by Patrick Haglund in 1927. It is also known as retrocalcaneal exostosis, Mulholland deformity, and 'pump bump.' It is a very common clinical condition, but still poorly understood. Read More

View Article
October 2016
15 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

View Article
December 2016
18 Reads

Responses to letters to the editor for "Fluoroscopically guided retrocalcaneal bursa steroid injection: description of the technique and pilot study of short-term patient outcomes".

Skeletal Radiol 2017 Feb 12;46(2):223-224. Epub 2016 Nov 12.

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

View Article
February 2017
5 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

View Article
October 2016
13 Reads

Clinics in diagnostic imaging (170).

Singapore Med J 2016 Sep;57(9):517-22

Department of Diagnostic Radiology, Singapore General Hospital, Singapore.

A 30-year-old woman presented with a six-month history of left posterior heel pain. Physical examination revealed a tender, inflamed and indurated posterior heel with a visible bony prominence of the posterosuperior aspect of the calcaneus. Lateral ankle radiography showed a prominent left posterosuperior calcaneal tuberosity and thickening of the distal Achilles tendon outline. Read More

View Article
September 2016
4 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

View Article
September 2016
18 Reads
2 Citations
0.844 Impact Factor

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

View Article
June 2016
17 Reads

Nerve distributions in insertional Achilles tendinopathy - a comparison of bone, bursae and tendon.

Histol Histopathol 2017 Mar 20;32(3):263-270. Epub 2016 Jun 20.

Department of Surgical and Perioperative Science, Sports Medicine Unit, Umeå University, Umeå, Sweden.

Background/aim: In a condition of pain in the Achilles tendon insertion there are multiple structures involved, such as the Achilles tendon itself, the retrocalcaneal bursa and a bony protrusion at the calcaneal tuberosity called Haglund's deformity. The innervation patterns of these structures are scarcely described, and the subcutaneous calcaneal bursa is traditionally not considered to be involved in the pathology. This study aimed at describing the innervation patterns of the four structures described above to provide a better understanding of possible origins of pain at the Achilles tendon insertion. Read More

View Article
March 2017
1 Read

Persistent Haglund's disease after conventional treatments: the innovative role of radiotherapy.

BJR Case Rep 2016 5;2(2):20150272. Epub 2016 May 5.

Department of Radiation Oncology, Scientific Institute Hospital "Casa Sollievo della Sofferenza", San Giovanni Rotondo (FG), Italy.

Haglund's disease, an inflammation of the retrocalcaneal bursa and a bone enlargement on the back of the heel, is a painful syndrome mainly caused by the exostotic prominence of the posterior calcaneus. Conventional treatment consists of rest, shoewear modification, medical therapy and, in selected cases, surgery. We report the case of a 59-year-old male with a history of severe atraumatic monolateral heel pain treated with foot orthotics, rest and surgery with partial regression of symptoms. Read More

View Article
May 2016
1 Read

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

View Article
August 2016
9 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

View Article
September 2017
10 Reads

High-resolution Sonographic Measurements of Lower Extremity Bursae in Chinese Healthy Young Men.

Chin Med J (Engl) 2016 Feb;129(3):309-12

Department of Ultrasound, The General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China.

Background: Lower extremity bursae are very vulnerable to injury during strenuous physical exercises. Understanding the imaging characteristics of normal bursae is essential for early diagnosis of morphological abnormalities. Therefore, we evaluated the normal range of lower extremity bursae in healthy young men using high-resolution ultrasound (HR-US) imaging. Read More

View Article
February 2016
3 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

View Article
April 2016
1 Read

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

View Article
April 2016
3 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

View Article
July 2015
100 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

View Article
January 2016
36 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

View Article
December 2014
6 Reads

Retrocalcaneal Pain After Open Reduction and Internal Fixation of Avulsion Fracture of the Achilles Tendon Treated by Endoscopic Adhesiolysis and Endoscopic Calcaneoplasty: A Case Report.

Authors:
Tun Hing Lui

Foot Ankle Spec 2016 Jun 7;9(3):279-83. Epub 2015 Aug 7.

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

Unlabelled: Avulsion fracture of the Achilles tendon is uncommon. Open reduction and internal fixation is indicated for displaced fracture in order to restore the normal function of the Achilles tendon. We present a patient with avulsion fracture of Achilles tendon that was complicated by the development of secondary Haglund's deformity and fibrous adhesion between the Achilles tendon and the calcaneus. Read More

View Article
June 2016
6 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

View Article
August 2016
17 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

View Article
July 2015
70 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

View Article
June 2015
7 Reads

Ultrasound of the joints and entheses in healthy children.

Pediatr Radiol 2015 Aug 6;45(9):1344-54. Epub 2015 Mar 6.

Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA,

Background: Tendon insertion pathologies such as enthesitis and apophysitis in children can result from trauma, overuse syndrome and arthritis. Knowledge of the US appearance of normal joints by age might aid diagnosis of pathologies.

Objective: We describe the age-related sonographic features of the elbows, knees and feet in healthy children, providing a reference for the normal appearance of tendon insertions, apophyseal cartilage and bursae. Read More

View Article
August 2015
4 Reads

Endoscopic calcaneoplasty.

Authors:
Joerg Jerosch

Foot Ankle Clin 2015 Mar 30;20(1):149-65. Epub 2014 Dec 30.

Department of Orthopedic Surgery and Sports Medicine, Johanna-Etienne-Hospital, Am Hasenberg 46, Neuss 41462, Germany. Electronic address:

Opinions differ regarding the surgical treatment of posterior calcaneal exostosis. After failure of conservative treatment, open surgical bursectomy and resection of the calcaneal prominence is indicated by many investigators. Clinical studies have shown high rates of unsatisfactory results and complications. Read More

View Article
March 2015
3 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

View Article
November 2015
7 Reads

The anatomical footprint of the Achilles tendon: a cadaveric study.

Bone Joint J 2014 Oct;96-B(10):1344-8

University Hospital Aintree, Lower Lane, Liverpool, L9 7AL, UK.

We dissected 12 fresh-frozen leg specimens to identify the insertional footprint of each fascicle of the Achilles tendon on the calcaneum in relation to their corresponding muscles. A further ten embalmed specimens were examined to confirm an observation on the retrocalcaneal bursa. The superficial part of the insertion of the Achilles tendon is represented by fascicles from the medial head of the gastrocnemius muscle, which is inserted over the entire width of the inferior facet of the calcaneal tuberosity. Read More

View Article
October 2014
18 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

View Article
August 2014
20 Reads