Calcaneal bursitis: Difference between revisions
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===Differential=== | ===Differential=== | ||
* DVT | |||
* Gastrocnemius strain | |||
* '''Retrocalcaneal bursitis''' | |||
* '''Retroachilles bursitis''' | |||
* Calcaneal fracture | |||
* Compartment syndrome | |||
* Friction blister | |||
* Achilles tendon rupture | |||
* Cellulitis | |||
* Superficial thrombophlebitis | |||
===Clinical features=== | ===Clinical features=== | ||
Revision as of 19:02, 15 June 2016
Background
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
- 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
Differential
- DVT
- Gastrocnemius strain
- Retrocalcaneal bursitis
- Retroachilles bursitis
- Calcaneal fracture
- Compartment syndrome
- Friction blister
- Achilles tendon rupture
- Cellulitis
- Superficial thrombophlebitis
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
Management
Conservative management
- 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