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Achilles Tendon Bursitis

Aka: Achilles Tendon Bursitis, Achilles Bursitis, Superficial Calcaneal Bursitis, Pump-Bump, Retrocalcaneal Bursitis
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  1. Epidemiology
    1. Middle aged and older adults
  2. Predisposing factors
    1. Overuse injury in athletes
    2. Low cut shoes
  3. Anatomy
    1. General
      1. Two bursae located near achilles tendon insertion
    2. Superficial Calcaneal Bursa (Pump-Bump)
      1. Located over achilles tendon
      2. Irritated by constant rubbing by shoe
      3. Associated with thin heel pad
    3. Retrocalcaneal bursa
      1. Located under achilles tendon
      2. Irritated by Calcaneus
        1. Prominent posterosuperior angle (Haglund's Disease)
  4. Symptoms
    1. Heel Pain with swelling and erythema
    2. Pain exacerbating factors
      1. Worse at the beginning of activity (e.g. walking)
      2. Wearing shoes may worsen pain
    3. Painful limp may develop
  5. Signs
    1. Inflammation at achilles tendon insertion on Calcaneus
  6. Differential Diagnosis
    1. See Heel Pain
  7. Imaging
    1. Indicated only in refractory cases
    2. Haglund's Deformity
      1. Bone spur on superior Calcaneus
      2. Calcified distal achilles tendon
  8. Management
    1. General Measures
      1. Heel pads
      2. NSAIDs
      3. Alternate Ice Therapy with heat therapy
      4. Consider wearing sandals (open back)
      5. Elevation of shoe heel with soft cushion
    2. Corticosteroid Injection not recommended
      1. Exercise caution in local steroid injections here
      2. Risk of Achilles Tendon Rupture or weakening
    3. Surgery for refractory cases
      1. Bursa and bony prominence resection
  9. References
    1. Mazzone (2002) Am Fam Physician 65(9):1805-10
    2. Van Wyngarden (1997) Am Fam Physician 55(6):2207-12

Posterior calcaneal exostosis (pump bump) (C0410104)

Concepts Anatomical Abnormality (T190)
SnomedCT 202883008
English Posterior calcaneal exostosis, Posterior calcaneal exostosis (pump bump), Posterior calcaneal exostosis (pump bump) (disorder)
Spanish exostosis calcánea posterior (trastorno), exostosis calcánea posterior
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Postcalcaneal bursitis (C0410130)

Concepts Disease or Syndrome (T047)
SnomedCT 240033006, 202935009
Spanish Postcalcaneal bursitis, bursitis retrocalcánea (trastorno), bursitis retrocalcánea
English retrocalcaneal bursitis (diagnosis), retrocalcaneal bursitis, bursitis retrocalcaneal, Postcalcaneal bursitis, RCB - Retrocalcaneal bursitis, Retrocalcaneal bursitis, Postcalcaneal bursitis (disorder)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Achilles bursitis (C0149846)

Concepts Disease or Syndrome (T047)
ICD9 726.71
ICD10 M76.6
SnomedCT 202879008, 87494005, 221695002, 203394008, 74859007
English ACHILLES BURSITIS, ALBERT DISEASE, CALCANEAL BURSITIS, SUPERFICIAL, Calcaneal osteochondritis, Swediauer's disease, TENOSITIS, ACHILLES, Achilles bursitis, Achilles tendinitis, achille tendonitis, achilles tendonities, tendonitis achilles, haglund's deformity, achilles bursitis, albert's syndrome, alberts disease, haglund's disease, achilles tendonitis, Achillobursitis, Albert's syndrome, Haglund's disease, Haglund's deformity, Swediaur's disease, Achilles bursitis (disorder), Capped hock, achillobursitis, Achilles bursitis (disorder) [Ambiguous], Achilles bursitis or tendinitis, Haglund deformity
Dutch Haglund-misvorming, bursitis of tendinitis van achillespees, bursitis van achillespees
French Bursite ou tendinite du tendon d'Achille, Achilléite, Difformité de Haglund
German Achillesbursitis oder Tendinitis, Achillobursitis, Haglund-Ferse
Italian Deformità di Haglund, Borsite achillea, Tendinite o borsite del tendine d'Achille
Portuguese Deformidade de Haglund, Bursite aquiliana, Bursite ou tendinite aquiliana
Spanish Bursitis o tendinitis aquílea, Deformidad de Haglund, Bursitis del tendón de Aquiles, Achilles bursitis, Haglund's deformity, aquilobursitis, bursitis aquileana (concepto no activo), bursitis aquileana (trastorno), bursitis aquileana, enfermedad de Haglund, enfermedad de Swediaur, osteocondritis calcánea, síndrome de Albert
Japanese ハグルンド変形, アキレス腱滑液包炎, ﾊｸﾞﾙﾝﾄﾞﾍﾝｹｲ, ｱｷﾚｽｹﾝｶﾂｴｷﾎｳｴﾝ
Czech Burzitida nebo tendinitida Achillovy šlachy, Burzitida Achillovy šlachy, Haglundova deformace
Hungarian Achillobursitis, Haglund-féle deformitás, Achilles bursitis vagy tendinitis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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