Diagnostics of the Retrocalcaneal Bursitis: Possibilities of the Use of New Anatomical Data

Czech version

Authors: D. Kachlík ¹; V. Báča ¹; M. Barták ²; M. Čepelík ¹; A. Doubková ¹; P. Hájek ¹; V. Mandys ³; V. Musil ⁴; B. Prosová ⁵; A. Srp ²; J. Stingl ¹
Authors‘ workplace: Ústav anatomie 3. LF UK, Praha, přednosta: prof. MUDr. J. Stingl, CSc. ¹; Radiodiagnostická klinika 3. LF UK a FN KV, Praha, přednosta: doc. MUDr. V. Janík, CSc. ²; Ústav patologie 3. LF UK a FN KV, Praha, přednosta: prof. MUDr. V. Mandys, CSc. ³; Středisko vědeckých informací 3. LF UK, Praha, vedoucí: PhDr. M. Hábová ⁴; Sonografie Říčany ⁵
Published in: Rozhl. Chir., 2008, roč. 87, č. 3, s. 128-134.
Category: Monothematic special - Original

Overview

The anatomy and histology of the normal retrocalcaneal bursa (RB) was studied on both embalmed and fresh cadaverous material. The bursa is a constant structure, its upper and posterior walls are completely covered with the unilayered synovial membrane. Its anterior wall represents the superior facet of the calcaneal tuberosity, the posterior one corresponds to the anterior surface of the insertional part of the Achilles tendon. The superior wall is formed by the adipose tissue of the inferior part of Kager’s triangle, extending into the cavity of the bursa in a form of constant large and irregularly shaped synovial fold. The normal anatomical features as well as some pathological changes of the bursa and its neighbourhood were demonstrated on examples of some case reports, by use of the ultrasonography and magnetic resonance investigations. In healthy individuals the space of the bursa was not figured in the ultrasonographic investigations, but was well apparent in the MR images. The pathological changes of the bursa are detectable by using of both methods, but the MR images present substantially precise quality of depiction. The authors recommend the use of presented new anatomical data for the improvement in differential diagnostic of the wide spectrum of achillar enthesopathies.

Key words:
retrocalcaneal bursitis – diagnosis – new anatomical data

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