‘Floor Layers Foot’ — An Occupational Bursa

Robertson, Brian L.; Haywood, I. R.

doi:10.1136/jramc-129-01-14

Cited by 5 publications

(4 citation statements)

References 1 publication

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“…Lateral premalleolar bursa has been described only once in the English literature by Robertson and Haywood 2 . The patient was a floor-layer who sat on his right foot as described above, and the bursa that developed was excised.…”

Section: Discussionmentioning

confidence: 99%

Lateral Premalleolar Bursitis as a Result of Sitting on the Foot

Avcı¹,

Şayli²

2001

Foot Ankle Int.

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Lateral premalleolar bursitis develops on the dorsolateral aspect of the foot in people who sit on their feet for prolonged periods. Twenty-nine premalleolar bursae in 21 patients were diagnosed. The patients presented with one or more of the complaints of swelling, pain and difficulty in wearing shoes. One bursa was infected. Initial treatment was non-surgical. With avoidance of the sitting position, the problem resolved in eight of the sixteen patients who were followed. Four bursae were injected with cortisone, three without success. Six bursae were surgically excised, and four of them, with a minimum of one year follow-up were doing well.

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Section: Discussionmentioning

confidence: 99%

Lateral Premalleolar Bursitis as a Result of Sitting on the Foot

Avcı¹,

Şayli²

2001

Foot Ankle Int.

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“…It is an accumulation of fluid within a bursa, which is formed by repetitive mechanical stimulations around the malleolar area [21]. However, patients sometimes demonstrate recurrent swelling anterior to the lateral malleolar area, so-called premalleolar area, that is aggravated with motion and relieved at rest, without a history of repetitive irritation over lateral malleolus or noticeable signs indicating infection [22]. Since the magnitude of swelling differs upon ankle motion, it can be estimated that the swollen area is closely connected to the ankle joint via a communicating tract, which is believed to be a SF.…”

Section: Discussionmentioning

confidence: 99%

Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients

Kim

Shim

Yang

et al. 2022

IJERPH

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We aimed to investigate the preoperative history, clinical manifestations, imaging findings, and postoperative clinical outcomes for patients with surgically confirmed synovial fistula around the ankle joint. 19 consecutive patients who were confirmed to have synovial fistula in the surgical field were enrolled in this study. Medical records of all patients in terms of preoperative details, operative findings, and postoperative outcomes at 1 year after the surgery were retrieved. As a diagnostic modality, the normal saline test or MRI was used. Intraoperatively, the synovial fistula was repaired with the capsuloligamentous repair or additional periosteal augmentation. All patients had a history of ankle sprain prior to symptoms and showed positive results in the saline load test. One patient had recurred symptom after the surgery, so needed a revisional periosteal augmentation. At 1 year follow-up period, the average Foot ankle outcome score was 87.65 and no surgery-related complication was detected. Synovial fistula of the ankle joint needs to be taken into consideration as a possible complication in patients with ankle sprain history and recurrent joint swelling. The saline load test would be useful for its diagnosis, and treatment should be focused on the complete closure of capsular opening along with restoration of its surrounding pathologic conditions.

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“…Lateral malleolar bursitis has been reported in miners sitting with their legs crossed in tunnels with low ceilings [ 9 ] or figure skaters whose malleoli are subject to abnormal contact pressure and shear forces from their boots [ 10 ]. On the other hand, lateral premalleolar bursitis was first reported by Robertson and Haywood in 1983 as an occupational bursitis among floor layers who sit on their feet during work [ 4 ]. Another study from Turkey involving 21 cases of lateral premalleolar bursitis reported that all the patients regularly sat on the floor with their feet under the buttocks during prayer or rest [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…The foot and ankle region is one of the commonest sites of bursitis because it is subject to mechanical stress from the external environment. Lateral premalleolar bursitis, known as an occupational bursa among floor layers in Western countries, is not uncommon among the general population in Asian countries where sitting on the foot is popular [ 4 ]. Most cases of bursitis are managed conservatively with methods such as local protection against stimuli, aspiration, a compressive wrap, and corticosteroid injection [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Recalcitrant Lateral Premalleolar Bursitis of the Ankle Associated with Lateral Ankle Instability

Naito

Matsumoto

Chang

et al. 2017

Case Reports in Orthopedics

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Lateral premalleolar bursitis of the ankle is a rarely reported disorder in the English literature although it is not uncommon in Asian countries where people commonly sit on their feet. Here, we present the case of a 66-year-old woman with recalcitrant lateral premalleolar bursitis associated with lateral ankle instability which was successfully treated with surgical resection of the bursa and repair of the anterior talofibular ligament. Operative findings revealed a communication between the bursa and articular cavity of the ankle joint via the sheath of the extensor digitorum longus tendon, which was considered to act as a check valve leading to a large and recalcitrant bursitis. This report provides a novel concept about the etiology of recalcitrant lateral premalleolar bursitis of the ankle.

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‘Floor Layers Foot’ — An Occupational Bursa

Cited by 5 publications

References 1 publication

Lateral Premalleolar Bursitis as a Result of Sitting on the Foot

Lateral Premalleolar Bursitis as a Result of Sitting on the Foot

Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients

Recalcitrant Lateral Premalleolar Bursitis of the Ankle Associated with Lateral Ankle Instability

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