An ultrasound examination of the Achilles tendon shows loss of fibrillary pattern, increased thickness, small focus of calcification, and increase in size of the retrocalcaneal
The tendon is surrounded by a paratenon which is a dense connective tissue structure that appears as echogenic borders surrounding the tendon.13,14 AT is a relatively large superficial structure, easily imaged by ultrasound which can be helpful in distinguishing between Achilles tendinitis, paratenonitis, and retrocalcaneal
SAN ANTONIO -- Spurs forward Rudy Gay will miss at least two weeks after an MRI revealed retrocalcaneal
bursitis in his right heel.
Comparison of results of retrocalcaneal
decompression for retrocalcaneal
bursitis and insertional Achilles tendinosis with calcific spur.
Common sites for bursitis to develop are olecranon, psoas tendon, greater trochanter, iliotibial band, prepatellar, infrapatellar and retrocalcaneal
. Septic bursitis is a commonly encountered condition.
The clinical exam consisted of palpation of the insertion, medial and lateral retrocalcaneal
bursal areas, and the mid-portion of the Achilles tendon.
The patients were treated as misdiagnosed with Achilles tendinitis, epin calcanei, retrocalcaneal
bursitis and plantar fasciitis before admission to our clinic.
Haglund syndrome can cause mechanical impingement to the retrocalcaneal
bursa and Achilles tendon.
Differential diagnosis included osteochondral lesion, fracture and retrocalcaneal
The bilateral suprapatellar bursa (SPB), deep infrapatellar bursa (DIPB), popliteal bursa (PB), and retrocalcaneal
bursa (RCB) were imaged and measured for analysis.
The pathology had occurred two days after an injection of Betamethasone Disodium Phosphate (unknown dose), given for the treatment of right retrocalcaneal
bursitis (whose symptoms lasted in turn for two weeks).
Separately, it is pointed out in the studies that there are changes taking place in the formation of calcaneal tendon in pathologies, such as Haglund's deformity, retrocalcaneal
bursitis, rupture and enthesopathies, and that such cases cause clinical problems concerned with walking (Apaydin et al.; Greenhagen et al.).