Posterior Achilles bursitis
Introduction
Introduction to posterior sacral bursitis Inflammation of the bursae that occurs above the Achilles tendon is the result of abnormal position and function of the heel. Achilles tendon bursitis is most common in young women, but males can also occur because the heel is prone to varus movement throughout the pace cycle, excessive compression and soft tissue between the posterior aspect of the bone and the upper (formation of the heel cocoon). This side of the calcaneus becomes bulging, easy to reach, and is often mistaken for exostoses. basic knowledge The proportion of illness: more common in long-term overload sports, the incidence rate is about 0.07% Susceptible people: more common in young women Mode of infection: non-infectious Complications: edema
Cause
Achilles tendon bursitis
The achilles tendon and the surrounding soft tissue are located between the calcaneus and the posterior upper. During the long-term repeated compression between the two, friction forms bursitis.
Heneghan et al studied Haglund's heel pain syndrome, suggesting that the bony prominence of the medial nodules of the calcaneal and the height of the heel play an important role in the pathogenesis and treatment of Haglund's heel pain.
Prevention
Achilles tendon bursitis prevention
Use the arch pad or felt pad to raise the heel to remove the pressure from the upper, and use a shoe orthosis (sports and coaster) to control abnormal heel activity.
Complication
Achilles tendon bursitis complications Complications edema
Due to long-term continuous compression, friction, causing Achilles tendon and bursae congestion, edema, serous exudation, fibrous hyperplasia, adhesions, thickening of the wall, adhesions around the Achilles tendon and other symptoms.
Symptom
Achilles tendon bursitis symptoms Common symptoms Heel posterior upper pain... Inflammatory foot swelling and tenderness
In the early stage of the heel, only a small, slightly hardened and tender erythema was seen. Patients often put tape on it to reduce the compression of the shoes. When the inflamed bursilla increased, the Achilles tendon A painful red bump appeared.
Examine
Achilles tendon bursitis examination
Check the local skin color is normal or flushing, the temperature is slightly increased, the tenderness is obvious, the Achilles tendon is relieved during rest, the pain is relieved, and the chronic painful patients have the possibility of calcification or ossification of Achilles tendon or bursal, no change in X-ray early. In the advanced stage, there may be decalcification of the calcaneus nodules, cystic changes, and bone hyperplasia. It is necessary to pay attention to the presence or absence of hyperplasia of the bursae and oppression of Achilles tendon.
Diagnosis
Diagnosis and differentiation of posterior sacral bursitis
It needs to be differentiated from the posterior talus fractures. The fever and pain of the disease originated in the soft tissue.
X-ray examination can be identified by excluding fractures or rheumatoid-induced calcaneus changes.
