Difference between revisions of "Calcaneal bursitis"

(Differential Diagnosis)
 
Line 12: Line 12:
 
*'''Retrocalcaneal bursitis'''
 
*'''Retrocalcaneal bursitis'''
 
*'''Retroachilles bursitis'''
 
*'''Retroachilles bursitis'''
*Septic bursitis
+
*[[Septic bursitis]]
 
*[[Septic arthritis]]
 
*[[Septic arthritis]]
 
*[[Calcaneus fracture]]
 
*[[Calcaneus fracture]]

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

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

See Also

External Links

References