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

Česká verzia

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 place of work: 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 the journal: Rozhl. Chir., 2008, roč. 87, č. 3, s. 128-134.
Category: Monothematic special - Original

Summary

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

Zdroje

1. Albert, E. Achillodynie. Wiener Mediz. Presse, 1893, roč. 34, s. 43–44.

2. Benninghoff, A., Goerttler, K. Lehrbuch der Anatomie des Menschen. 11. Aufl., Ed. H. Ferner, J. Staubesand. München, Berlin, Wien : Urban&Schwarzenberg, 1975, s. 353, 368.

3. Boutry, N., Flipo, R. M., Cotten, A. MR imaging appearance of rheumatoid arthritis in the foot. Semin. Musculoskelet. Radiol., 2005, roč. 9, s. 199–209.

4. Canoso, J. J., Liu, N., Traill, M. R., Rubte, V. M. Physiology of the retrocalcaneal bursa. Ann. Rheum. Dis. 1988, roč. 47, s. 910–912.

5. Dickinson, P., Coutts, M., Woodward, P., Handler, D. Tendo Achillis bursitis. J. Bone Joint Surg., 1966, roč. 48A, s. 77–81.

6. Doskočil, M. Special traits of the structure of the Achilles tendon in humans during development. Sbor. Lék., 1981, roč. 83, s. 1–4.

7. Dungl, P. Ortopedie. Praha: Grada Publishing, 2005, s. 1128–1129.

8. Fowler, A., Philips, J. F. Abnormality of the calcaneus as a cause of painful heel. Brit. J. Surg., 1945, roč. 32, s. 494–498.

9. Frey, C., Rosenberg, Z., Shereff, M. J., Kim, H. The retrocalcaneal bursa: Anatomy and bursography. Foot Ankle, 1992, roč. 13, s. 203–207.

10. Geyer, M. Achillodynie. Der Orthopäde, 2005, roč. 34, č. 7, s. 677–681.

11. Heineke, W. Die Anatomie und Pathologie der Schleimbeutel und Sehnenscheiden. Erlangen: Verl. A. Deichert, 1868, s. 129–130.

12. Hohmann, G. Fuss und Bein, ihre Erkrankungen und deren Behandlung. München: Verl. J. F. Bergmann, 1939, s. 299–302.

13. Holsbeeck, M. T., van, Introcaso, J. H. Musculoskeletal ultrasound. 2nd Ed., St. Louis: Mosby, s. 82–130.

14. Jones, D., James, S. Partial calcaneal osteotomy for retrocalcaneal bursitis. Am. J. Sports Med., 1984, roč. 12, s. 72–76.

15. Kachlík, D., Báča, V., Čepelík, M., Hájek, P., Mandys, V., Musil, V., Skála, P., Stingl, J. Clinical anatomy of the retrocalcanear bursa. Surg. Radiol. Anat., 2008, roč. 30, č. 4, DO/10.1007/ S00276-008-0335-4

16. Kachlík, D., Báča, V., Čepelík, M., Hájek, P., Mandys, V., Musil, V. Clinical anatomy of the tuber calcanei. Ann. Anat., 2008, roč. 190, DO/10.1016/j.aanat. 2008. 02. 001

17. Kamel, M., Eid, H., Mansour, R. Ultrasound detection of heel enthesitis: a comparison with magnetic resonance imaging. J. Rheumatol., 2003, roč. 30, s. 774–778.

18. Kopsch, F. Rauber-Kopsch Lehrbuch und Atlas der Anatomie des Menschen. 18. Aufl. Leipzig: G. Thieme Verl., 1952, s. 290, 594, 595.

19. Lang, J., Wachsmuth, W. Bein und Statik. 2. Aufl. Berlin: Springer-Verl., 1972, s. 346–348.

20. Mahlfeld, K., Kayser, R., Mahlfeld, A., Grasshoff, H., Franke, J. Wert der Sonographie in der Diagnostik von Bursopathien im Bereich der Achillessehne. Ultraschall-Med., 2001, roč. 22, s. 87–90.

21. McNally, E. G. Practical Musculoskeletal Ultrasound. Philadelphia: Elsevier, Churchill, Livingstone.. 2005, s. 167–190.

22. Narváez, J.A., Narváez, J., Ortega, R., Aguilera, C., Sánchez, A., Andia, E. Painful heel: MR imaging findings. RadioGraphics, 2000, roč. 20, s. 333–352.

23. Rosenmüller, I. C. Alexandri Monroi icones et descriptiones bursarum mcosarum corporis humani. Lipsiae: Verl. Breitkopf et Haertel, 1799, s. 55, 104, Tab. XI.

24. Rössler, A. Zur Kenntniss der Achillodynie. Dtsch. Z. Chir., 1895, roč. 42, s. 274–291.

25. Schepsis, A. A., Jones, H., Haas, A. L. Achilles tendon disorders in athletes. Am. J. Sports Med., 2002, roč. 30, s. 287–305.

26. Stephens, M. S. Haglund‘s deformity and retrocalcaneal bursitis. Orthop. Clin. N. Amer., 1994, roč. 25, s. 41–46.

27. Stingl, J. Normální anatomie Achillovy šlachy. Sbor. Lék., 1989, roč. 91, s. 73–82.

28. Stoller, D. W. Magnetic resonance imaging in orthopaedics and sports medicine. Philadelphia, Lippincott, Williams and Wilkins, 1997, s. 523–525.

29. Synnestvedt, A. S. D. En anatomisk beskrivelse af de paa over- og underextremiteterne forekommende Bursae mucosae. Christiania: Brögger&Chriestie‘s Booktrykkerie, 1869, s. 75–77, 86–87.

30. Terminologia anatomica. FCAT. Stuttgart, Thieme, 1998, s. 45.

31. Testut, L., Latarjet, A. Traité d’Anatomie humaine. NeuviŹme Ed., Tome I. Paris: Doin&Cie, 1848, s. 1172–1173.

32. Watson, A. D., Anderson, R. B., Davis, W. H. Comparison of results of retrocalcaneal decompression for retrocalcaneal bursitis and insertional Achilles tendinosis with calcific spur. Foot Ankle Int., 2000, roč. 21, s. 638–642.

33. Williams, S. K., Bragge, M. Heel pain – plantar fasciitis and Achilles enthesopathy. Clin. Sport Med., 2004, roč. 23, s. 123–144.

34. Zwipp, H. Chirurgie des Fusses. Wien: Springer-Verlag, 1994, s. 17–19, 342–343.