Calcaneal bursitis: Difference between revisions

Latest revision as of 16:16, 18 October 2019

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

Retrocalcaneal bursitis
Retroachilles bursitis
Septic bursitis
Septic arthritis
Calcaneus fracture
Friction blister

Foot diagnoses

Acute

Subacute/Chronic

Calf pain

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 secondary to risk of achilles rupture

Disposition

Typically discharge home

External Links

Orthobullets - Achilles Tendonitis

References

Authors:

@@ Line 1: / Line 1: @@
-===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==
+*Pain localized anterior and 2-3cm proximal to insertion of achilles tendon
+*Pain with dorsiflexion
+*Tenderness and fullness medial and lateral to tendon
-===Clinical features===
+==Differential Diagnosis==
-* pain localized anterior and 2-3cm proximal to insertion of achilles tendon
+*'''Retrocalcaneal bursitis'''
-* pain with dorsiflexion
+*'''Retroachilles bursitis'''
-* tenderness and fullness medial and lateral to tendon
+*[[Septic bursitis]]
+*[[Septic arthritis]]
+*[[Calcaneus fracture]]
+*Friction blister
-===Management===
+{{Foot diagnoses}}
-''Conservative management''
+{{Calf pain DDX}}
-* 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===
+==Management==
+''Conservative management is first-line''
+*Rest, Ice, Compression, Elevation
+*Achilles padding in shoe wear
+*Physical therapy → achilles stretching
+*[[NSAID]]s
+*Bursa aspiration
+*Avoid steroid injections secondary to risk of achilles rupture
-===Useful resources===
+==Disposition==
+*Typically discharge home
+==See Also==
+*[[Septic bursitis]]
+==External Links==
+*[http://www.orthobullets.com/foot-and-ankle/7022/achilles-tendonitis Orthobullets - Achilles Tendonitis]
+==References==
+<references/>
+[[Category:Orthopedics]]
+[[Category:Sports Medicine]]