Calcaneal Bursitis (Subscribe)  

CONCLUSION. On MR imaging, the asymptomatic retrocalcaneal bursa normally contains detectable high-signal-intensity fluid or synovium or both. A bursa larger than 1 mm anteroposteriorly, 11 mm transversely, or 7 mm craniocaudally is abnormal.
MR imaging of the normal and abnormal retrocalcaneal bursae. Bottger BA, Schweitzer ME, El-Noueam KI, Desai M. AJR Am J Roentgenol. 1998...

We aspirated the retrocalcaneal bursa in cadavers to determine the characteristics of bursal fluid. A small amount of clear, viscous fluid was constantly present in the bursa. Leucocyte count was low, and the mucin clot test was good. With the same technique we aspirated the retrocalcaneal bursae of 4 patients....

Pain at the posterior heel or posterior ankle most commonly is caused by pathology at the posterior calcaneus, the Achilles tendon, or the associated bursae. Two bursae are located just superior to the insertion of the Achilles (calcaneal) tendon. Inflammation of either or both bursae can cause pain at the...

CONCLUSIONS—Ultrasonography is an objective method in the confirmation of clinical diagnosis after physical examination. During the examination it is possible to gain not only qualitative but also quantitative data. A comparative study with quantitative data is possible in longitudinal studies.
Inflamed retrocalcaneal bursa and Achilles tendonitis in psoriatic arthritis demonstrated by...

Interesting and accurate clinical description of the condition.
Exostoses beneath the post-calcaneal bursa are most commonly manifestations of an osteo-arthritic process. The exciting causes of this are exposure to cold and wet and trauma. The treatment should be operative only after the acute stage has subsided. The condition is one...

Undue prominence of the posterosuperior edge of the calcaneal tuberosity can lead to mechanical irritation by footwear, and to painful bursitis. Haglund (1927) recommended radical resection of this part of the calcaneus when conservative treatment failed, but there is uncertainty about the amount of bone which should be removed.
The aim...

Retrocalcaneal bursitis has been described in various adult rheumatic diseases and septic bursitis unrelated to previous bursal disease has been reported in children. The case is reported here of a girl with juvenile chronic arthritis who developed non-septic retrocalcaneal bursitis; the diagnosis was suggested by a combination of clinical and...

Polymyalgia rheumatica (PMR) is a relatively common disease of the elderly affecting the synovial membrane.
Recent studies have emphasised the prominent involvement of the extra-articular synovial structures in both proximal and distal regions of both the arms and legs. In the distal part of the arms tenosynovial membrane inflammation is responsible for carpal tunnel syndrome, distal swelling of hands...

For patients with refractory retrocalcaneal bursitis (Haglund’s syndrome), the most effective surgical approach has not been defined. We asked whether patients undergoing the tendon-splitting approach and the lateral approach would have comparably effective relief of pain for both types of calcaneal ostectomies.
Both approaches to calcaneal ostectomy provided symptomatic pain...

We conclude that the three regions of Kager's fat pad have specialized functions: an FHL part which contributes to moving the bursal wedge during plantarflexion, an Achilles part which protects blood vessels entering this tendon, and a bursal wedge which we suggest minimizes pressure changes in the bursa. All three...

Haglund syndrome is a common cause of posterior heel pain, characterized clinically by a painful soft-tissue swelling at the level of the achilles tendon insertion. On the lateral heel radiograph the syndrome is characterized by a prominent calcaneal bursal projection, retrocalcaneal bursitis, thickening of the Achilles tendon, and a convexity...