Calcaneal bursitis: Difference between revisions
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===Background===
==Background==
''Can be subdivided into two separate entities:  Retrocalcaneal and Retroachilles bursitis''
Can be subdivided into two separate entities:  Retrocalcaneal and Retroachilles bursitis
* '''Retrocalcaneal bursitis'''-> is inflammation of the bursa located posterior to the calacaneal bone, anterior to the achilles tendon
*'''Retrocalcaneal bursitis''' - Inflammation of the bursa located posterior to the calacaneal bone, anterior to the achilles tendon
* '''Retroachilles bursitis''' -> is inflammation of the bursa located between the achilles tendon and posterior skin, adjacent to the insertion of the achilles tendon on the calcaneous
*'''Retroachilles bursitis''' - Inflammation of the bursa located between the achilles tendon and posterior skin, adjacent to the insertion of the achilles tendon on the calcaneous


===Differential===
==Clinical features==
* [[DVT]]
*Pain localized anterior and 2-3cm proximal to insertion of achilles tendon
* [[Gastrocnemius strain]]
*Pain with dorsiflexion
* '''Retrocalcaneal bursitis'''
*Tenderness and fullness medial and lateral to tendon
* '''Retroachilles bursitis'''
* Septic bursitis
* [[Septic arthritis]]
* [[Calcaneus fracture]]
* [[Compartment syndrome]]
* Friction blister
* [[Achilles tendon rupture]]
* [[Cellulitis]]
* [[Superficial thrombophlebitis]]


===Clinical features===
==Differential==
* pain localized anterior and 2-3cm proximal to insertion of achilles tendon
*[[DVT]]
* pain with dorsiflexion
*[[Gastrocnemius strain]]
* tenderness and fullness medial and lateral to tendon
*'''Retrocalcaneal bursitis'''
*'''Retroachilles bursitis'''
*Septic bursitis
*[[Septic arthritis]]
*[[Calcaneus fracture]]
*[[Compartment syndrome]]
*Friction blister
*[[Achilles tendon rupture]]
*[[Cellulitis]]
*[[Superficial thrombophlebitis]]


===Management===
==Management==
''Conservative management is first-line''
''Conservative management is first-line''
* Rest, Ice, Compression, Elevation
*Rest, Ice, Compression, Elevation
* Achilles padding in shoe wear
*Achilles padding in shoe wear
* Physical therapy -> achilles stretching
*Physical therapy -> achilles stretching
* [[NSAID]]s
*[[NSAID]]s
* Bursa aspiration
*Bursa aspiration
* Avoid steroid injections 2/2 risk of achilles rupture
*Avoid steroid injections 2/2 risk of achilles rupture


===Disposition===
==Disposition==
*Typically discharge homem


===Useful resources===
==See Also==
* [http://www.orthobullets.com/foot-and-ankle/7022/achilles-tendonitis orthobullets]
*[[Septic bursitis]]
 
==External Links==
*[http://www.orthobullets.com/foot-and-ankle/7022/achilles-tendonitis orthobullets Orthobullets - Achilles Tendonitis]
 
==References==
<references/>
 
[[Category:Orthopedics]]

Revision as of 15:05, 26 June 2016

Background

Can be subdivided into two separate entities: Retrocalcaneal and Retroachilles bursitis

  • Retrocalcaneal bursitis - Inflammation of the bursa located posterior to the calacaneal bone, anterior to the achilles tendon
  • Retroachilles bursitis - Inflammation of the bursa located between the achilles tendon and posterior skin, adjacent to the insertion of the achilles tendon on the calcaneous

Clinical features

  • Pain localized anterior and 2-3cm proximal to insertion of achilles tendon
  • Pain with dorsiflexion
  • Tenderness and fullness medial and lateral to tendon

Differential

Management

Conservative management is first-line

  • Rest, Ice, Compression, Elevation
  • Achilles padding in shoe wear
  • Physical therapy -> achilles stretching
  • NSAIDs
  • Bursa aspiration
  • Avoid steroid injections 2/2 risk of achilles rupture

Disposition

  • Typically discharge homem

See Also

External Links

References

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