182 results match your criteria: "Retrocalcaneal Bursitis"
Assessment of calf muscle constitution in chronic Achilles tendon disease using Dixon-based MRI.
Skeletal Radiol
December 2024
Department of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
Objectives: To assess calf muscle constitution in chronic Achilles tendon disease (ATD) using two-point Dixon-based MRI (2pt-MRI).
Materials And Methods: This retrospective study analyzed 91 patients (36 females; 57.0 ± 14.
[Behind the pain: retrocalcaneal bursitis].
Medicina (B Aires)
October 2024
Departamento de Imágenes, Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires, Argentina.
Biomechanical Changes to the Hindfoot After Zadek Osteotomy.
Foot Ankle Int
December 2024
The University of Connecticut, Department of Orthopedics, Farmington, CT, USA.
Article Synopsis
- - The study investigates how the Zadek osteotomy (ZO) affects the biomechanics of the Achilles tendon and surrounding structures in cadaveric specimens with insertional Achilles tendinopathy (IAT).
- - Results show that after ZO, the Haglund prominence moved forward, the Achilles tendon insertion shifted upward, and retrocalcaneal pressure significantly decreased.
- - Despite these changes, the strain on the Achilles tendon did not show significant alterations, suggesting the ZO effectively relieves pressure without greatly affecting tendon strain.
Endoscopic Calcaneoplasty in Haglund Disease: Surgical Technique, Clinical and Subjective Outcomes.
Foot Ankle Int
October 2024
Hospital Italiano de Buenos Aires, Foot and Ankle Section, Orthopaedics Department, Buenos Aires, Argentina.
Article Synopsis
- Endoscopic procedures for treating Haglund disease have become more popular over the past decade due to their advantages over traditional methods, such as minimizing recovery time and complications.
- A study analyzing 14 patients who underwent endoscopic calcaneoplasty showed significant improvements in pain levels and overall foot function, with scores improving dramatically post-surgery.
- The results indicated that 85.7% of patients experienced positive outcomes, with no complications or need for reoperations, suggesting the technique is effective and reliable for this condition.
Detection of musculoskeletal inflammatory lesions in patients with chronic chikungunya infection using 3T whole-body magnetic resonance imaging.
Rev Soc Bras Med Trop
May 2024
Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Article Synopsis
- - This study explored musculoskeletal inflammatory lesions in patients with chronic Chikungunya virus (CHIKV) infection using whole-body magnetic resonance imaging (WBMRI) to assess their prevalence.
- - 26 out of 86 patients with a history of joint pain lasting over six months underwent imaging, revealing common issues like joint effusion and bursitis, particularly in the tibiotalar joint and retrocalcaneal bursa.
- - Findings indicated that most lesions were mild, providing foundational insights for better understanding and managing chronic CHIKV-related musculoskeletal disorders in future research.
Ankle Muscle Strength and Gait Function After Dorsal Closing Wedge Calcaneal Osteotomy for Haglund Exostosis-Related Heel Pain.
Foot Ankle Int
July 2024
Human Performance Lab, Schulthess Clinic, Zurich, Switzerland.
Article Synopsis
- Haglund exostosis-related heel pain can be treated with dorsal closing wedge calcaneal osteotomy (DCWCO), which has shown promising clinical outcomes in recent studies.
- A study involving 15 patients measured ankle muscle strength and gait function before and a year after surgery, finding minor differences in strength between limbs and improving gait dynamics.
- Post-surgery, patients reported a 48% improvement in foot function, with 80% feeling significantly benefited by the procedure, suggesting effective long-term results from the surgery.
The Heel Complex: Anatomy, Imaging, Pathologic Conditions, and Treatment.
Radiographics
April 2024
From the Department of Radiology, Radiation Oncology, and Medical Physics, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada (D.V.F., A.D.); Department of Medical Imaging, The Ottawa Hospital, 501 Smyth Road, Ottawa, ON, Canada K1H 8L6 (D.V.F.); Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (D.V.F.); Division of Musculoskeletal Radiology, Laboratorio Delboni Auriemo, DASA, São Paulo, Brazil (P.K.G.); and Division of Musculoskeletal Imaging and Intervention, Department of Radiology, University of California San Diego Medical Center, San Diego, Calif (B.K.H.).
Article Synopsis
- Heel pain can stem from issues with the Achilles tendon, calcaneus (heel bone), or plantar fascia, with Achilles tendon conditions ranging from inflammation and degeneration to potential tears.* ! -
- Common calcaneus injuries include fractures, particularly intra-articular ones, and conditions like Haglund syndrome, which may require orthotics or surgery for correction.* ! -
- Plantar fasciitis is the leading cause of heel pain, often treatable through conservative methods, but severe cases may necessitate surgical interventions like plantar fasciotomy.* !
Posterior Ankle and Hindfoot Arthroscopy: A Contemporary Review.
Foot Ankle Int
January 2024
Virginia Flowers Baker Distinguished Professor of Orthopaedic Surgery.
Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia.
Semin Musculoskelet Radiol
June 2023
Department of Radiology, Clínica Rotger, Palma de Mallorca, Spain.
Article Synopsis
- - Tendinopathy, especially Achilles tendinopathy and plantar fasciitis, is a common and painful overuse injury in athletes, particularly those involved in running and jumping sports.
- - Initial treatment for these conditions typically involves conservative approaches, but some cases may persist with symptoms that are hard to manage.
- - When conservative methods fail, ultrasound-guided injections become necessary, and this discussion covers the key interventions and procedures for treating these foot and ankle conditions effectively.
Double row reconstruction of achilles tendon (speedbridge technique) for haglund syndrome results in early weight bearing.
J Orthop
May 2023
Dept of Orthopedics, Additional professor Room no 3096, 3 rd floor, Teaching Block, India.
Article Synopsis
- The study evaluates the effectiveness of a newer technique, the speedbridge method, for reconstructing the tendoachilles tendon after surgery for haglund deformity.
- Conducted from January 2018 to February 2019, the research involved 13 patients and used specific scoring systems to assess pain and function over a two-year period.
- Results showed significant improvement in patients' recovery, with early mobilization starting just 10 days after surgery leading to excellent clinical outcomes.
Septic retrocalcaneal bursitis in a young soccer player treated with hindfoot endoscopic bursectomy: a case report.
J Surg Case Rep
April 2023
Department of Orthopaedic Surgery, Hyogo Medical University, 1-1, Mukogawa-cho, Nishinomiya, 663-8501 Hyogo, Japan.
Article Synopsis
- Septic retrocalcaneal bursitis (RB) is a very rare condition, and this case highlights its surgical treatment for the first time.
- A 14-year-old male soccer player experienced heel pain without any prior injury and was initially treated conservatively with a splint and antibiotics, but showed no improvement.
- After 4 days of ineffective treatment, he underwent a hindfoot endoscopic bursectomy, resulting in successful recovery and the ability to return to soccer at the same level he was at before the injury.
Clinical outcomes and complications of the Zadek calcaneal osteotomy in Insertional Achilles Tendinopathy: A systematic review and meta-analysis.
Foot Ankle Surg
June 2023
Barts Bone & Joint Health, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Article Synopsis
- The Zadek osteotomy is a surgical procedure used to treat Insertional Achilles Tendinopathy (IAT) in patients who haven't had success with other treatments.
- A study analyzing data from ten trials found significant improvements in patient functional scores and pain levels after surgery, with only minor complications reported.
- While the results suggest the procedure is safe and effective, more rigorous research comparing it to other surgical options is needed.
12 Cases of Haglund's Syndrome Detected through MRI.
Curr Med Imaging
June 2023
Department of Radiology, The First Hospital of Hunan University of Chinese Medicine, 95 Shaoshan Middle Road, Yuhua District, Changsha 410007, P.R. China.
Article Synopsis
- Haglund's syndrome is a common but often overlooked cause of heel pain, stemming from impingement involving the calcaneus, bursa, and Achilles tendon, making clinical diagnosis challenging.* -
- This study analyzed MR images from 11 confirmed Haglund's syndrome patients to identify key imaging characteristics, including changes in the calcaneus, tendon, and surrounding soft tissues.* -
- Findings revealed that MR imaging commonly shows bone edema, Achilles tendon degeneration, bursitis, and fat pad edema in cases of Haglund's syndrome, providing valuable insights for clinical diagnosis.*
Defining Haglund's deformity radiographically by incorporating the biomechanics of ankle motion.
Foot Ankle Surg
October 2023
Department of Orthopaedics and Rehabilitation, University of Vermont Larner College of Medicine, Burlington, VT 05401, USA. Electronic address:
Article Synopsis
- - Haglund's deformity is characterized by pain at the back of the heel, and this study aimed to refine the measurements used to diagnose it by considering how ankle movement affects the condition.
- - Researchers analyzed foot X-rays from 55 patients with Haglund's deformity and 50 control patients, using new angular measurements alongside traditional ones to identify differences between the two groups.
- - The new criteria, which factor in ankle motion, were more effective at distinguishing Haglund's deformity cases from controls than previous methods, indicating a need for updated diagnostic approaches.
Surgical Treatment of Haglund's Deformity: A Systematic Review and Meta-Analysis.
Cureus
July 2022
Department of Orthopaedic Surgery, Changi General Hospital, Singapore, SGP.
Article Synopsis
- Haglund's deformity, or posterosuperior calcaneal prominence, can cause painful retrocalcaneal bursitis, often requiring surgery if conservative treatments fail.
- Surgical options include both open and endoscopic methods, focusing on removing the bursa, reducing the calcaneal prominence, and cleaning up the Achilles tendon.
- A review of 20 relevant studies indicates that both surgical approaches effectively improve patient outcomes, with endoscopic surgery showing benefits like shorter surgery times and fewer complications, but more research is needed for optimization.
The 'Bauer bump:' ice hockey skates as a common cause of Haglund syndrome.
Phys Sportsmed
October 2023
Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, NY, NY, USA.
Article Synopsis
- Ice hockey is a fast-paced sport with a high injury risk due to factors like speed, collisions, and sharp skates.
- Chronic injuries, such as the "Bauer bump," often emerge alongside acute injuries, highlighting the importance of understanding both types.
- Haglund syndrome is a common chronic condition in hockey players, characterized by a bony enlargement on the heel, and requires proper diagnosis and management by clinicians.
Magnetic resonance imaging characteristics in patients with spondyloarthritis and clinical diagnosis of heel enthesitis: post hoc analysis from the phase 3 ACHILLES trial.
Arthritis Res Ther
May 2022
CIRI/Rheumatology and Fraunhofer TMP, Goethe-University, Frankfurt, Germany.
Article Synopsis
- The study aimed to analyze the imaging features and clinical impact of heel enthesitis in patients with spondyloarthritis by using the Heel Enthesitis Magnetic Resonance Imaging Scoring system (HEMRIS) in MRI data from the ACHILLES trial.
- The ACHILLES trial focused on patients with active psoriatic arthritis or axial spondyloarthritis who had heel enthesitis resistant to standard treatments, comparing the effects of the drug secukinumab and placebo over time.
- Results showed a high prevalence of entheseal inflammation in the Achilles tendon, with noticeable improvement in inflammation scores in those receiving secukinumab compared to the placebo group, although structural damage remained relatively stable across both groups.
Haglund's Deformity as a Cause of Acute Achilles Tendon Rupture: A Case Report.
J Foot Ankle Surg
March 2022
Chief, Department of Traumatology and Orthopedics, Muehlenkreiskliniken, Luebbecke, Germany. Electronic address:
Article Synopsis
- * This case report details a unique instance of a 39-year-old professional handball player experiencing a recurring Achilles tendon rupture alongside severe Haglund's deformity.
- * The player underwent a surgical procedure involving tendon debridement and reattachment using the Arthrex Speedbridge® system, highlighting a specific approach to treat this rare combination of injuries.
Excisional Debridement for Chronic Achilles Insertional Tendinosis: A Novel Technique and Case Review.
Foot Ankle Spec
August 2023
Rowan University School of Osteopathic Medicine, Stratford, New Jersey (TEG, HES, QTC); NYU Winthrop Hospital, Garden City, New York (MCC).
Article Synopsis
- Operative treatment for chronic Achilles insertional tendinosis (AIT) typically involves tendon debridement and removal of related abnormalities, but no single standard technique exists in the literature.
- A study of 57 patients utilized a novel approach where only the central portion of the Achilles tendon was excised, improving visibility and healing during surgery.
- Results showed significant improvement in patient-reported outcomes and pain relief over two years post-operation, although superficial wound breakdown was a common complication.
Clinical results of the Keck and Kelly Wedge Osteotomy approach in Haglund's deformity: Minimum 3-year follow-up.
Foot Ankle Surg
February 2022
Department of Orthopedics and Traumatology, Acibadem Kayseri Hospital, Kayseri, Turkey.
Article Synopsis
- The study investigates the effectiveness of the Keck and Kelly procedure in surgically treating Haglund's deformity, a condition characterized by a bony growth on the heel that can cause pain and bursitis.
- It examines outcomes for 20 patients over at least three years, measuring improvements using AOFAS and visual analog pain scale scores before and after surgery.
- Results showed significant increases in AOFAS scores and decreases in pain levels post-surgery, suggesting that this procedure is a beneficial option for improving ankle function and reducing pain associated with Haglund's deformity.
A Study on Outcome of Surgical Treatment of Chronic Retrocalcaneal Bursitis.
Mymensingh Med J
October 2021
Dr Khandaker Hafijur Rahman, Resident Surgeon, Department of Emergency and Casualty, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:
Article Synopsis
- Retrocalcaneal bursitis is a painful condition in the heel caused by friction between the retrocalcaneal bursa and the Achilles tendon, often related to a deformity known as Haglund deformity.
- *Conservative treatments are the first line of approach, but if the condition remains chronic, surgical intervention becomes necessary.
- *A study at BSMMU in Bangladesh involving 40 patients showed significant improvement in pain and function after surgery, with a mean AOFAS score increasing from 46 to 89, indicating a 90% satisfaction rate with the outcomes.
Safety and efficacy of image-guided retrocalcaneal bursa corticosteroid injection for the treatment of retrocalcaneal bursitis.
Skeletal Radiol
December 2021
Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY, 10467, USA.
Article Synopsis
- The study aimed to assess the safety and effectiveness of corticosteroid injections in the retrocalcaneal bursa for patients with retrocalcaneal bursitis, utilizing fluoroscopy and ultrasound guidance.
- A total of 218 injections were analyzed, revealing a significant reduction in pain for 62.9% of patients within the short-term follow-up period, with a small percentage (14%) needing further Achilles surgery.
- The study found no difference in outcomes between the imaging techniques used, but identified a notable association between bursal Doppler flow and the likelihood of progressing to surgery, with a 1.8% rate of Achilles ruptures following injections.
Increasing consensus on terminology of Achilles tendon-related disorders.
Knee Surg Sports Traumatol Arthrosc
August 2021
Department of Orthopedic Surgery, Amsterdam UMC, PO Box 22660, 1100 DD, Amsterdam, The Netherlands.
Article Synopsis
- - This study aimed to evaluate and assess how updated terminology for Achilles tendon disorders is used in both clinical practice and academic literature.
- - A survey sent to orthopedic surgeons and a literature review revealed that half of the respondents were in line with the latest terminology proposals, showing an increase in its usage over time.
- - Despite the positive trend towards revised terminology, older terms like the indistinct Haglund eponyms remain prevalent, indicating a mix of old and new terminology in the field.
Can Haglund's Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access.
Healthcare (Basel)
April 2021
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), University of Genova-Campus of Savona, 17100 Savona, Italy.
Article Synopsis
- - Haglund's syndrome (HS) is a painful foot condition caused by a bony growth on the heel, along with issues in the Achilles tendon and a bursa, making diagnosis tricky due to potential overlaps with other musculoskeletal problems.
- - A 41-year-old male runner, initially treated for back and leg pain, sought help from a physical therapist (PT) due to severe heel pain, leading to an accurate diagnosis and appropriate orthopedic referral.
- - The case emphasizes the important role of PTs in direct access settings as primary care providers, highlighting their skills in correctly diagnosing and managing musculoskeletal issues and knowing when to refer patients for further treatment.
Heel fat pad involvement in rheumatoid arthritis: a review and case series.
Clin Rheumatol
November 2021
Department of Rheumatology, Boston University/Boston Medical Center, 725 Albany Street, Boston, MA, 02118, USA.
Article Synopsis
- * Common issues include conditions like enthesophytosis and bursitis, but subcalcaneal bursitis, which affects the heel fat pad, is less common yet can occur in up to 10% of RA patients and can be diagnosed using ultrasound.
- * Treatment for heel fat pad abnormalities typically involves rest, pain relief, and mechanical aids, with disease-modifying drugs sometimes added, but surgical intervention is rarely necessary.