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Achilles Tendon BursitisAka: Achilles Bursitis, Superficial Calcaneal Bursitis, Pump-Bump, Retrocalcaneal Bursitis, Haglund's Deformity, Haglund's Heel

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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. Radiology (indicated only in refractory cases)
    1. 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
    2. Van Wyngarden (1997) Am Fam Physician 55(6):2207

Achilles bursitis (C0149846)

ConceptsDisease or Syndrome (T047)
ICD9726.71
EnglishAchilles bursitis, Achilles bursitis or tendinitis, ACHILLES TENDINITIS, Achillobursitis, ALBERT DISEASE, Albert's syndrome, Calcaneal osteochondritis, Capped hock, Haglund's deformity, Haglund's disease, Swediauer's disease, Swediaur's disease
Spanishaquilobursitis, bursitis aquileana, enfermedad de Haglund, enfermedad de Swediaur, osteocondritis calcanea, sindrome de Albert
Parent ConceptsEnthesopathy of ankle AND/OR tarsus (C0158319), Bursitis of ankle region (C0410102), Soft tissue lesion of foot region (C0410117), Ambiguous concept (C1274012), Duplicate concept (C1274013)
SourcesDXP, ICD9CM, MTH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Posterior calcaneal exostosis (pump bump) (C0410104)

ConceptsAnatomical Abnormality (T190)
Spanishexostosis calcanea posterior
Parent ConceptsBone Diseases (C0005940), Foot Diseases (C0016510), Enthesopathy of lower leg and ankle region (C0410103), Finding of bone of foot (C0576318)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Postcalcaneal bursitis (C0410130)

ConceptsDisease or Syndrome (T047)
EnglishPostcalcaneal bursitis, RCB - Retrocalcaneal bursitis, Retrocalcaneal bursitis
Spanishbursitis retrocalcanea
Parent ConceptsBursitis - ankle/foot (C0564800)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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