II. Epidemiology
- Middle aged and older adults
III. Predisposing factors
- Overuse injury in athletes
- Low cut shoes
IV. Anatomy
-
General
- Two bursae located near achilles tendon insertion
- Superficial Calcaneal Bursa (Pump-Bump)
- Located over achilles tendon
- Irritated by constant rubbing by shoe
- Associated with thin heel pad
- Retrocalcaneal bursa
- Located under achilles tendon
- Irritated by Calcaneus
- Prominent posterosuperior angle (Haglund's Disease)
V. Symptoms
- Heel Pain with swelling and erythema
- Pain exacerbating factors
- Worse at the beginning of activity (e.g. walking)
- Wearing shoes may worsen pain
- Painful limp may develop
VI. Signs
- Inflammation at achilles tendon insertion on Calcaneus
- Images
VII. Differential Diagnosis
- See Heel Pain
VIII. Imaging
- Indicated only in refractory cases
-
Haglund's Deformity
- Bone spur on superior Calcaneus
- Calcified distal achilles tendon
IX. Management
-
General Measures
- Heel pads
- NSAIDs
- Alternate Ice Therapy with heat therapy
- Consider wearing sandals (open back)
- Elevation of shoe heel with soft cushion
-
Corticosteroid Injection not recommended
- Exercise caution in local steroid injections here
- Risk of Achilles Tendon Rupture or weakening
- Surgery for refractory cases
- Bursa and bony prominence resection
Images: Related links to external sites (from Bing)
Related Studies
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 726.71 |
| ICD10 | M76.6 |
| SnomedCT | 221695002, 202879008, 87494005, 203394008, 74859007, 320481000009105 |
| English | Achilles bursitis, Haglund's deformity, Achilles tendinitis, tendonitis achilles, haglund's deformity, achilles bursitis, albert's syndrome, alberts disease, haglund's disease, achilles tendonitis, Haglund's disease, Calcaneal osteochondritis, Inflammation of calcaneal bursa (disorder), Inflammation of calcaneal bursa, Calcaneal bursitis, Achillobursitis, Albert's syndrome, Swediaur's disease, Achilles bursitis (disorder), Capped hock, bursitis; calcaneal, calcaneal; bursitis, achillobursitis, Swediauer's disease, Achilles bursitis (disorder) [Ambiguous], Achilles bursitis or tendinitis, Haglund deformity |
| Dutch | Haglund-misvorming, bursitis of tendinitis van achillespees, bursitis van achillespees, bursitis; calcaneus, calcaneus; bursitis |
| French | Bursite ou tendinite du tendon d'Achille, Difformité de Haglund, Bursite du tendon d'Achille |
| 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, aquilobursitis, osteocondritis calcánea, bursitis aquileana (concepto no activo), bursitis aquileana (trastorno), bursitis aquileana, enfermedad de Haglund, enfermedad de Swediaur, 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 |
Ontology: Posterior calcaneal exostosis (C0410104)
| Concepts | Anatomical Abnormality (T190) |
| SnomedCT | 202883008 |
| English | Posterior calcaneal exostosis (pump bump), Pump bump, Posterior calcaneal exostosis (pump bump) (disorder), Haglund deformity, Haglund's deformity, Posterior calcaneal exostosis (disorder), Posterior calcaneal exostosis |
| Spanish | deformidad de Haglund, exostosis calcánea posterior (trastorno), exostosis calcánea posterior |
Ontology: Postcalcaneal bursitis (C0410130)
| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 202935009, 240033006 |
| English | retrocalcaneal bursitis (diagnosis), retrocalcaneal bursitis, bursitis retrocalcaneal, Postcalcaneal bursitis, RCB - Retrocalcaneal bursitis, Retrocalcaneal bursitis, Postcalcaneal bursitis (disorder) |
| Spanish | bursitis retrocalcánea (trastorno), bursitis retrocalcánea |
