155 results match your criteria Retrocalcaneal Bursitis

Can Haglund's Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access.

Healthcare (Basel) 2021 Apr 28;9(5). Epub 2021 Apr 28.

Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), University of Genova-Campus of Savona, 17100 Savona, Italy.

Haglund's syndrome (HS) is a painful condition that is caused by an exostosis of the posterior superior part of the calcaneus coupled with Achilles tendinopathy and retrocalcaneal bursitis. Both for the proper musculoskeletal assessment and for the differential diagnosis process of possible concurrent diseases deriving from other anatomical areas, the diagnosis of HS is still a challenge. A 41-year-old male amateur runner was diagnosed and treated for low back pain and referred leg pain by his general practitioner. Read More

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Heel fat pad involvement in rheumatoid arthritis: a review and case series.

Clin Rheumatol 2021 Apr 4. Epub 2021 Apr 4.

Department of Rheumatology, Boston University/Boston Medical Center, 725 Albany Street, Boston, MA, 02118, USA.

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease affecting not only the synovial joints but also multiple extra-articular sites, including ankle and foot soft tissue. Hindfoot abnormalities usually follow those in the forefoot, with up to 4 out of 10 patients experiencing talalgia during their disease course. Enthesophytosis, retrocalcaneal bursitis, and plantar fasciitis are among the most common etiologies, while heel fat pad abnormalities like subcalcaneal bursitis are rare. Read More

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Surface Shape of the Calcaneal Tuberosity and the Occurrence of Retrocalcaneal Bursitis among Runners.

Int J Environ Res Public Health 2021 03 11;18(6). Epub 2021 Mar 11.

Faculty of Applied Mathematics, AGH University of Science and Technology, 30-059 Krakow, Poland.

Purpose: The aim of the study was to establish the relationship between the shape of the calcaneal tuberosity (flat, stepped, rounded, normal) and the probability that retrocalcaneal bursitis among people who train running regularly.

Methods: The study included a group of 30 runners who suffered from retrocalcaneal bursitis in the past, and 30 people who never had symptoms of this disease. The study was based on a diagnostic survey, as well as on clinical examination. Read More

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Acute-Onset Achilles Tendon Pain and Swelling Treated with an Amniotic Fluid-Derived Allograft: A Case Study.

J Am Podiatr Med Assoc 2021 Feb;111(1)

Background: Tendinopathies are common musculoskeletal disorders that often develop because of chronic loading and failed healing. Tendinopathy related to systemic inflammation has been less extensively examined. Furthermore, although the use of biological agents to treat tendinopathies continues to gain popularity, the use of amniotic fluid-derived allografts in outpatient settings to resolve tendinopathies requires further evaluation. Read More

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February 2021

Surgical treatment for insertional Achilles tendinopathy and retrocalcaneal bursitis: more than 1 year of follow-up.

J Int Med Res 2021 Mar;49(3):300060521992959

Centre for Joint Surgery, Southwest Hospital, 12525Third Military Medical University (Army Medical University), Chongqing, China.

Objective: To analyse the imaging changes in bone marrow oedema of the calcaneal prominence, retrocalcaneal bursa and degenerative Achilles tendon after the surgical treatment of insertional Achilles tendinopathy (IAT).

Methods: This retrospective study analysed patients with IAT and retrocalcaneal bursitis that were diagnosed based on their symptoms and radiographic and magnetic resonance imaging (MRI) examinations. For patients that had received 3 months of conservative treatment but still presented with symptoms, arthroscopic debridement of the retrocalcaneal bursa and resection of calcaneal prominence were undertaken. Read More

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Endoscopic calcaneoplasty for the treatment of Haglund's deformity provides better clinical functional outcomes, lower complication rate, and shorter recovery time compared to open procedures: a systematic review.

Knee Surg Sports Traumatol Arthrosc 2020 Nov 20. Epub 2020 Nov 20.

Department of Surgical Sciences and Integrated Diagnostic (DISC), University of Genoa, Viale Benedetto XV 6, 16132, Genova, Italy.

Purpose: The aim of this research is to report the clinical outcome following surgical correction of Haglund's deformity summarising different surgical strategies and comparing clinical outcomes, failures, complications and return to activities of patients underwent open and endoscopic techniques.

Methods: A systematic search of the literature was conducted using eight different databases. Thirty-five studies were included in the systematic review. Read More

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November 2020

A Narrative Review of the Classification and Use of Diagnostic Ultrasound for Conditions of the Achilles Tendon.

Diagnostics (Basel) 2020 Nov 13;10(11). Epub 2020 Nov 13.

Department of Internal Medicine, Division of Rheumatology, The Ohio State University Wexner Medical Center, 543 Taylor Ave, Columbus, OH 43203, USA.

Enthesitis is a cardinal feature of spondyloarthropathies. The Achilles insertion on the calcaneus is a commonly evaluated enthesis located at the hindfoot, generally resulting in hindfoot pain and possible tendon enlargement. For decades, diagnosis of enthesitis was based upon patient history of hindfoot or posterior ankle pain and clinical examination revealing tenderness and/or enlargement at the site of the tendon insertion. Read More

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November 2020

The Utility of SPECT/CT in Diagnosing Haglund Syndrome With Bone Scintigraphy.

Clin Nucl Med 2021 Jan;46(1):45-46

Haglund syndrome-the combination of Haglund's deformity, retrocalcaneal bursitis, and achilles tendinopathy-is a common cause of hind foot pain in adults; however, diagnosis on planar scintigraphy can be challenging. We present a case of Haglund syndrome and show the key role that SPECT/CT can play in its diagnosis. Read More

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January 2021

Efficacy of local injection therapy for heel pain in rheumatic inflammatory diseases: A systematic review.

Z Rheumatol 2020 Dec 25;79(10):1033-1039. Epub 2020 Sep 25.

Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Heel pain or achillodynia is one of the most common manifestations in patients with rheumatic inflammatory diseases (RID) and particularly spondyloarthritis (SpA). It can be associated with inflammation at the bone insertion of tendon, ligament, bursa or fascia. However, treatment is still a challenge for rheumatologists. Read More

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December 2020

Minimum 3.5-year outcomes of operative treatment for Achilles tendon partial tears in the midportion and retrocalcaneal area.

Heinz Lohrer

J Orthop Surg Res 2020 Sep 10;15(1):395. Epub 2020 Sep 10.

European SportsCare Network (ESN), Zentrum für Sportorthopädie, Borsigstrasse 2, 65205, Wiesbaden-Nordenstadt, Germany.

Background: Achilles tendon partial tears are not easy to diagnose and to manage. Most frequently, they are located in the midportion and insertional area. These entities result from different pathologic pathways, and different treatment strategies are applied. Read More

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September 2020

Achilles tendon-splitting approach and double-row suture anchor repair for Haglund syndrome.

Foot Ankle Surg 2020 Jun 8. Epub 2020 Jun 8.

Medipol University, Medical School, Department of Orthopaedics and Traumatology, İstanbul, Turkey.

Background: Haglund syndrom is characterized as a painful posterosuperior deformity of the heel with possible causes as tight Achilles tendon, high-arched foot and tendency to walk on the outside of the heel. Surgical treatment may be recommended in cases where of insufficient response to nonoperative treatment. This study aims to evaluate the clinical and radiographic results of central Achilles tendon splitting and double-row suture anchor technique in the surgical treatment of patients with Haglund syndrome. Read More

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Rearfoot disorders and conservative treatment: a narrative review.

Ann Palliat Med 2020 Sep 6;9(5):3546-3552. Epub 2020 Aug 6.

Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

Rearfoot disorders are frequently encountered in clinical practice. We reviewed common rearfoot disorders and present conservative treatments, focusing on shoe modification and the application of insoles or orthoses. Achilles tendinopathy is caused by excessive mechanical loads on the gastrocnemius and soleus muscles. Read More

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September 2020

Transtendinous approach calcaneoplasty versus endoscopic calcaneoplasty for Haglund's disease.

Int Orthop 2021 01 7;45(1):225-231. Epub 2020 Aug 7.

Department of Orthopedics, IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20100, Milan, Italy.

Purpose: In this study, we performed a comparison between open calcaneoplasty through transtendinous approach and endoscopic calcaneoplasty for Haglund's disease.

Methods: A retrospective review was performed of patients who had undergone either a calcaneoplasty with transtendinous approach or endoscopic for Haglund's disease from three centres. Inclusion criteria were patients with Haglund's disease confirmed radiographically, neutral alignment of the hindfoot and at least one year of follow-up. Read More

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January 2021

High patient satisfaction and good long-term functional outcome after endoscopic calcaneoplasty in patients with retrocalcaneal bursitis.

Knee Surg Sports Traumatol Arthrosc 2021 May 25;29(5):1494-1501. Epub 2020 Jul 25.

Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands.

Purpose: The primary objective of this study was to determine the degree of patient satisfaction at a minimum of 5 years of follow-up after endoscopic calcaneoplasty. The secondary objectives were to assess functional outcome measures, pain scores, analysis of bone removal, reformation of exostosis at follow-up and correlation of the size of the exostosis and recurrent or persisting complaints.

Methods: This study evaluated patients who underwent endoscopic calcaneoplasty, between January 1st 2000 and December 31st 2010, for the diagnosis of retrocalcaneal bursitis. Read More

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Haglund's Syndrome: endoscopic or open treatment?

Marcello Lughi

Acta Biomed 2020 05 30;91(4-S):167-171. Epub 2020 May 30.

Orthopedics and Traumatology Operative Unit Forlì Presidia AUSL of Romagna.

Background And Aim Of The Work: With the term "Haglund›s syndrome" we define a condition characterized clinically by pain at the insertion of Achille›s tendon and, anatomopathologically, due to the presence of retrocalcaneal bursitis and at times associated with an insertional Achille›s tendinopathy. The aim of the work is to correlate the most reliable and reproducible treatment possible to the aforementioned variables of Haglund›s syndrome.

Methods: The classic syndromic picture is characterized by pain caused by retrocalcaneal bursitis. Read More

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Reasons for discordances between ultrasonography and magnetic resonance imaging in the evaluation of the ankle, hindfoot and heel of the patients with rheumatoid arthritis.

Med Ultrason 2019 Nov;21(4):405-413

2nd Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Aim: To compare the ultrasonography (US) performance with magnetic resonance imaging (MRI) in identifying pathology in ankles, hindfeet and heels of rheumatoid arthritis (RA) patients and to evaluate the reasons for discordances between the two imaging methods.

Material And Methods: RA patients were enrolled and evaluated using the Clinical Disease Activity Index (CDAI) and the Disease Activity Score 28 with C-reactive Protein (DAS28-CRP). The ankle (tibiotalar joint, tendons), hindfoot (talonavicular, subtalar joints) and heel of the most symptomatic or dominant foot (for the asymptomatic patient)were evaluated by two pairs of examiners using US and contrast-enhanced MRI. Read More

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November 2019

In-Vivo Efficacy of Recombinant Human Hyaluronidase (rHuPH20) Injection for Accelerated Healing of Murine Retrocalcaneal Bursitis and Tendinopathy.

J Orthop Res 2020 01 13;38(1):59-69. Epub 2019 Sep 13.

Department of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, Virginia.

The deposition of aggrecan/hyaluronan (HA)-rich matrix within the tendon body and surrounding peritenon impede tendon healing and result in compromised biomechanical properties. Hence, the development of novel strategies to achieve targeted removal of the aggrecan-HA pericellular matrix may be effective in treating tendinopathy. The current study examined the therapeutic potential of a recombinant human hyaluronidase, rHuPH20 (FDA approved for reducing HA accumulation in tumors) for treating murine Achilles tendinopathy. Read More

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January 2020

Minimally Invasive and Endoscopic Treatment of Haglund Syndrome.

Foot Ankle Clin 2019 Sep 18;24(3):515-531. Epub 2019 May 18.

Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong SAR 999077, China.

Haglund syndrome is a triad of posterosuperior calcaneal prominence (Haglund deformity), retrocalcaneal bursitis, and insertional Achilles tendinopathy. The sources of pain include the posterior calcaneal wall cartilage, retrocalcaneal and subcutaneous adventitial bursa, and the Achilles tendon. Resection of the posterosuperior calcaneal tubercle, bursectomy, excision of the Achilles tendon pathology, reattachment of the Achilles tendon, gastrocnemius aponeurotic recession, and flexor hallucis longus transfer have been proposed as surgical treatment options. Read More

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September 2019

Ultrasound-Guided Minimally Invasive Surgical Resection of Retrocalcaneal Bursitis: A Preliminary Comparison With Traditional Open Surgery.

J Foot Ankle Surg 2019 Sep 23;58(5):855-860. Epub 2019 Jul 23.

Attending, Department of Orthopedic Surgery, Taipei Tzu Chi Hospital, The Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan; Associate Professor, Department of Orthopedics, School of Medicine, Tzu Chi University, Hualien, Taiwan. Electronic address:

Posterior heel pain is a common complaint that is often caused by overuse injuries. In such cases, the retrocalcaneal bursa is compressed and chafed repeatedly, leading to local inflammation. Sonography is a popular imaging tool used to study the pathology of soft tissues, and it can be used to assist in diagnosing bursitis because of its accuracy. Read More

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September 2019

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

J Foot Ankle Surg 2019 Mar 3;58(2):236-242. 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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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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October 2018

[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

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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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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December 2018

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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October 2018

[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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December 2017

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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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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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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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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