Calcaneal bursitis: Difference between revisions
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*Tenderness and fullness medial and lateral to tendon | *Tenderness and fullness medial and lateral to tendon | ||
==Differential== | ==Differential Diagnosis== | ||
*[[DVT]] | *[[DVT]] | ||
*[[Gastrocnemius strain]] | *[[Gastrocnemius strain]] | ||
Revision as of 15:31, 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 Diagnosis
- DVT
- Gastrocnemius strain
- Retrocalcaneal bursitis
- Retroachilles bursitis
- Septic bursitis
- Septic arthritis
- Calcaneus fracture
- Compartment syndrome
- Friction blister
- Achilles tendon rupture
- Cellulitis
- Superficial thrombophlebitis
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