European Journal of Molecular & Clinical Medicine

Abstract

Retro calcaneal bursitis is an inflammation of the bursa located between Achilles tendon and the posterior edge of the calcaneus. Lateral view radiograph of ankle joint shows posterosuperior bony spur and confirms the diagnosis. Various management modalities have been described for the treatment of chronic retro calcaneal bursitis. Endoscopic surgeries being minimally invasive procedure allows early postoperative recovery and good wound healing.
MATERIALS AND METHODS:
            A total of 10 patients were included after fulfilling inclusion criteria between January 2019 and June 2020. All patients underwent Endoscopic decompression of retro calcaneal bursitis. All patients were assessed using AOFAS, Maryland ankle and foot score and VAS score preoperatively and post operatively at 6 weeks and 3 months follow up.
RESULTS:
            All patients were available for follow up. Average age of the cohort was 47.6 years. Out of 10 patients 60% were females and 40% males. Right side foot was affected in 60% and left side foot in 40% of patients. Out of 10 patients 40% had hypertension, 20% had diabetes mellitus and remaining 40% had no comorbidities. Duration of symptoms ranged from 5 months to 2 years with an average of 8.5months. AOFAS, Maryland ankle and foot score and VAS score showed better results in terms of functional outcome at 6 weeks and 3 months follow up compared to preoperative scores. There was significant improvement of the score in the follow-up periods at 6 weeks (P <0.0001) and at 3 months (P<0.0001) follow up when compared to the pre-operative score.
CONCLUSION:
             Endoscopic decompression of retrocalcaneal bursitis allowed better visualization of the bony spur and resect adequately. It showed several advantages including better functional outcome, good wound healing and a shorter recovery time after surgery.
Keywords: Achilles tendon, Retrocalcaneal bursitis, Endoscopic decompression