Ultrasound-guided Diagnostic and Therapeutic Approach to Retrocalcaneal Bursitis

Checa, Angel; Chun, William; Pappu, Ramesh

doi:10.3899/jrheum.100920

Cited by 9 publications

(5 citation statements)

References 4 publications

(2 reference statements)

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“…Animal studies have enough evidence to suggest that intratendinous steroid injection would result in tendon degeneration and predispose to rupture. [27][28][29][30] Upon collecting the retrospective data, 3 of the 19 patients underwent previous local steroid administration prior to the rupture. Incidence of local steroid injection prior to rupture was 15% in our study.…”

Section: Discussionmentioning

confidence: 99%

Role of Calcaneoplasty and Correlation of Haglund\'s Bump and Spur in Insertional Achilles Tendinopathy and Degenerative Achilles Tendon Rupture

Sambandam¹,

Ramasamy²,

Ramakanth³

2018

Journal of Foot and Ankle Surgery (Asia Pacific)

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Introduction: Patients with degenerative Achilles tendon rupture and those with a chronic nonresponding Achilles tendinopathy form a major surgical population in foot and ankle surgery. Simple debridement and repair of the tendon will not be sufficient in these patients because the Haglund bump and retrocalcaneal spur, which is seen in both groups, is an important contributing factor. Calcaneoplasty and spur excision are required in addition to get good results. In this study, the clinical significance of Haglund bump and the role of calcaneoplasty and spur excision in treating these related pathologies are discussed. Materials and methods:This is a retrospective study of two groups of patients. The first group comprised 20 patients with chronic Achilles tendinopathy, who underwent tendo-achilles (TA) detachment debridement and reattachment after calcaneoplasty. The second group comprised 19 patients with degenerative TA rupture, who underwent tendon repair with calcaneoplasty. Postoperative outcomes at 6 months followup were compared between these groups, and a multinomial logistic regression was done to analyze the preoperative variables to predict the strong factor that causes tear. Results:Mean pre-and postoperative American Orthopedic Foot & Ankle Society (AOFAS) score of the tendinopathy group was 54.25 [standard deviation (SD) = 13.1] and 95.15 (SD = 6.13), whereas it was 45.68 (SD = 13.33) and 93.11 (SD = 4.90) in the tendon rupture group. In both the groups, there was a marked increase in postoperative outcome, but there was no significant difference in between the two groups (p-value = 0.259). Multinomial logistic regression proved Haglund bump, measured using Vega angle, to be the only significant predictor of tendon rupture. Conclusion:Haglund bump and spur are the significant lesions of the posterior heel pathologies. Surgical treatment of these pathologies should always include calcaneoplasty and spur JFAS (AP)

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Section: Discussionmentioning

confidence: 99%

Role of Calcaneoplasty and Correlation of Haglund\'s Bump and Spur in Insertional Achilles Tendinopathy and Degenerative Achilles Tendon Rupture

Sambandam¹,

Ramasamy²,

Ramakanth³

2018

Journal of Foot and Ankle Surgery (Asia Pacific)

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“…With ultrasound, the Achilles tendon and the retrocalcaneal bursa are easily distinguished, and the injection needle can be accurately guided into the retrocalcaneal bursa under direct real-time visualization without traumatizing the tendon and other nearby soft tissue structures. 6 …”

Section: Ultrasound-guided Injection Treatment Of Retrocalcaneal Bursmentioning

confidence: 97%

“…3B and 4B). 6 Both the 21-and 23-gauge needles are feasible for the injection purpose. Under the transverse view, sonographic-assisted injection of betamethasone (as dipropionate) 5 mg/mL was performed into the retrocalcaneal bursa using a lateral approach (Fig.…”

Section: Ultrasound-guided Injection Treatment Of Retrocalcaneal Bursmentioning

confidence: 99%

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Ultrasound-Guided Injection Treatment of Retrocalcaneal Bursitis

Chu

Lew

Chen

2012

American Journal of Physical Medicine &Amp; Rehabilitation

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“…139 Non-operative invasive management. Corticosteroids have been used in isolated cases of retrocalcaneal bursitis, 140,141 but the volume of evidence is lacking. The historic risk of tendon rupture 142,143 probably explains their relatively infrequent use.…”

Section: Non-operative Non-invasive Therapymentioning

confidence: 99%

Achilles tendinopathy

Roche

Calder

2013

The Bone & Joint Journal

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The two main categories of tendo Achillis tendon disorder are broadly classified by anatomical location to include non-insertional and insertional conditions. Non-insertional Achilles tendinopathy is often managed conservatively, and many rehabilitation protocols have been adapted and modified, with excellent clinical results. Emerging and popular alternative therapies, including a variety of injections and extracorporeal shockwave therapy, are often combined with rehabilitation protocols. Surgical approaches have developed, with minimally invasive procedures proving popular. The management of insertional Achilles tendinopathy is improved by recognising coexisting pathologies around the insertion. Conservative rehabilitation protocols as used in non-insertional disorders are thought to prove less successful, but such methods are being modified, with improving results. Treatment such as shockwave therapy is also proving successful. Surgical approaches specific to the diagnosis are constantly evolving, and good results have been achieved.

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Ultrasound-guided Diagnostic and Therapeutic Approach to Retrocalcaneal Bursitis

Cited by 9 publications

References 4 publications

Role of Calcaneoplasty and Correlation of Haglund\'s Bump and Spur in Insertional Achilles Tendinopathy and Degenerative Achilles Tendon Rupture

Role of Calcaneoplasty and Correlation of Haglund\'s Bump and Spur in Insertional Achilles Tendinopathy and Degenerative Achilles Tendon Rupture

Ultrasound-Guided Injection Treatment of Retrocalcaneal Bursitis

Achilles tendinopathy

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