Ultrasound-Guided Minimally Invasive Surgical Resection of Retrocalcaneal Bursitis: A Preliminary Comparison With Traditional Open Surgery

Chung Li Wang, Pei Yu Chen, Kai Chiang Yang, Hsing Cheng Wu, Chen Chie Wang

Research output: Contribution to journalArticle

Abstract

Posterior heel pain is a common complaint that is often caused by overuse injuries. In such cases, the retrocalcaneal bursa is compressed and chafed repeatedly, leading to local inflammation. Sonography is a popular imaging tool used to study the pathology of soft tissues, and it can be used to assist in diagnosing bursitis because of its accuracy. Herein, we report an innovative method to treat retrocalcaneal bursitis under ultrasound guidance. Ten patients with posterior heel pain for >6 months who failed conservative treatment received this ultrasound-guided minimally invasive surgery. An endoscopic puncher and burr were inserted under ultrasound guidance via a stabbing wound, and the swollen retrocalcaneal bursa and bony prominence were resected. The patients were able to ambulate and undergo a rehabilitation program 2 weeks postoperatively. In the patients who underwent this ultrasound-guided minimally invasive surgery, both the average surgical time and average hospital stay were shorter than in those (n = 12) who underwent open surgery. In outcome rating assessment, the American Orthopaedic Foot & Ankle Society (AOFAS) pain score and total AOFAS ankle-hindfoot score were improved in the ultrasound-guided minimally invasive surgery group compared to the open surgery group at 2 months postoperatively. Other advantages included lesser wound pain, shorter hospital stay, faster recovery time, and minimal blood loss. Accordingly, ultrasound-guided surgery appears to be a good option for the treatment of retrocalcaneal bursitis.

Original languageEnglish
Pages (from-to)855-860
Number of pages6
JournalJournal of Foot and Ankle Surgery
Volume58
Issue number5
DOIs
Publication statusPublished - Sep 2019

Fingerprint

Bursitis
Minimally Invasive Surgical Procedures
Pain
Heel
Ankle
Length of Stay
Cumulative Trauma Disorders
Wounds and Injuries
Operative Time
Orthopedics
Foot
Ultrasonography
Rehabilitation
Outcome Assessment (Health Care)
Pathology
Inflammation
Therapeutics

Keywords

  • 4
  • Achilles tendon
  • bursectomy
  • retrocalcaneal bursitis
  • ultrasound

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Ultrasound-Guided Minimally Invasive Surgical Resection of Retrocalcaneal Bursitis : A Preliminary Comparison With Traditional Open Surgery. / Wang, Chung Li; Chen, Pei Yu; Yang, Kai Chiang; Wu, Hsing Cheng; Wang, Chen Chie.

In: Journal of Foot and Ankle Surgery, Vol. 58, No. 5, 09.2019, p. 855-860.

Research output: Contribution to journalArticle

@article{d4a8dc5df280493e8da8b7a3f6cd85d5,
title = "Ultrasound-Guided Minimally Invasive Surgical Resection of Retrocalcaneal Bursitis: A Preliminary Comparison With Traditional Open Surgery",
abstract = "Posterior heel pain is a common complaint that is often caused by overuse injuries. In such cases, the retrocalcaneal bursa is compressed and chafed repeatedly, leading to local inflammation. Sonography is a popular imaging tool used to study the pathology of soft tissues, and it can be used to assist in diagnosing bursitis because of its accuracy. Herein, we report an innovative method to treat retrocalcaneal bursitis under ultrasound guidance. Ten patients with posterior heel pain for >6 months who failed conservative treatment received this ultrasound-guided minimally invasive surgery. An endoscopic puncher and burr were inserted under ultrasound guidance via a stabbing wound, and the swollen retrocalcaneal bursa and bony prominence were resected. The patients were able to ambulate and undergo a rehabilitation program 2 weeks postoperatively. In the patients who underwent this ultrasound-guided minimally invasive surgery, both the average surgical time and average hospital stay were shorter than in those (n = 12) who underwent open surgery. In outcome rating assessment, the American Orthopaedic Foot & Ankle Society (AOFAS) pain score and total AOFAS ankle-hindfoot score were improved in the ultrasound-guided minimally invasive surgery group compared to the open surgery group at 2 months postoperatively. Other advantages included lesser wound pain, shorter hospital stay, faster recovery time, and minimal blood loss. Accordingly, ultrasound-guided surgery appears to be a good option for the treatment of retrocalcaneal bursitis.",
keywords = "4, Achilles tendon, bursectomy, retrocalcaneal bursitis, ultrasound",
author = "Wang, {Chung Li} and Chen, {Pei Yu} and Yang, {Kai Chiang} and Wu, {Hsing Cheng} and Wang, {Chen Chie}",
year = "2019",
month = "9",
doi = "10.1053/j.jfas.2018.12.023",
language = "English",
volume = "58",
pages = "855--860",
journal = "Journal of Foot and Ankle Surgery",
issn = "1067-2516",
publisher = "Academic Press Inc.",
number = "5",

}

TY - JOUR

T1 - Ultrasound-Guided Minimally Invasive Surgical Resection of Retrocalcaneal Bursitis

T2 - A Preliminary Comparison With Traditional Open Surgery

AU - Wang, Chung Li

AU - Chen, Pei Yu

AU - Yang, Kai Chiang

AU - Wu, Hsing Cheng

AU - Wang, Chen Chie

PY - 2019/9

Y1 - 2019/9

N2 - Posterior heel pain is a common complaint that is often caused by overuse injuries. In such cases, the retrocalcaneal bursa is compressed and chafed repeatedly, leading to local inflammation. Sonography is a popular imaging tool used to study the pathology of soft tissues, and it can be used to assist in diagnosing bursitis because of its accuracy. Herein, we report an innovative method to treat retrocalcaneal bursitis under ultrasound guidance. Ten patients with posterior heel pain for >6 months who failed conservative treatment received this ultrasound-guided minimally invasive surgery. An endoscopic puncher and burr were inserted under ultrasound guidance via a stabbing wound, and the swollen retrocalcaneal bursa and bony prominence were resected. The patients were able to ambulate and undergo a rehabilitation program 2 weeks postoperatively. In the patients who underwent this ultrasound-guided minimally invasive surgery, both the average surgical time and average hospital stay were shorter than in those (n = 12) who underwent open surgery. In outcome rating assessment, the American Orthopaedic Foot & Ankle Society (AOFAS) pain score and total AOFAS ankle-hindfoot score were improved in the ultrasound-guided minimally invasive surgery group compared to the open surgery group at 2 months postoperatively. Other advantages included lesser wound pain, shorter hospital stay, faster recovery time, and minimal blood loss. Accordingly, ultrasound-guided surgery appears to be a good option for the treatment of retrocalcaneal bursitis.

AB - Posterior heel pain is a common complaint that is often caused by overuse injuries. In such cases, the retrocalcaneal bursa is compressed and chafed repeatedly, leading to local inflammation. Sonography is a popular imaging tool used to study the pathology of soft tissues, and it can be used to assist in diagnosing bursitis because of its accuracy. Herein, we report an innovative method to treat retrocalcaneal bursitis under ultrasound guidance. Ten patients with posterior heel pain for >6 months who failed conservative treatment received this ultrasound-guided minimally invasive surgery. An endoscopic puncher and burr were inserted under ultrasound guidance via a stabbing wound, and the swollen retrocalcaneal bursa and bony prominence were resected. The patients were able to ambulate and undergo a rehabilitation program 2 weeks postoperatively. In the patients who underwent this ultrasound-guided minimally invasive surgery, both the average surgical time and average hospital stay were shorter than in those (n = 12) who underwent open surgery. In outcome rating assessment, the American Orthopaedic Foot & Ankle Society (AOFAS) pain score and total AOFAS ankle-hindfoot score were improved in the ultrasound-guided minimally invasive surgery group compared to the open surgery group at 2 months postoperatively. Other advantages included lesser wound pain, shorter hospital stay, faster recovery time, and minimal blood loss. Accordingly, ultrasound-guided surgery appears to be a good option for the treatment of retrocalcaneal bursitis.

KW - 4

KW - Achilles tendon

KW - bursectomy

KW - retrocalcaneal bursitis

KW - ultrasound

UR - http://www.scopus.com/inward/record.url?scp=85069705854&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069705854&partnerID=8YFLogxK

U2 - 10.1053/j.jfas.2018.12.023

DO - 10.1053/j.jfas.2018.12.023

M3 - Article

C2 - 31345762

AN - SCOPUS:85069705854

VL - 58

SP - 855

EP - 860

JO - Journal of Foot and Ankle Surgery

JF - Journal of Foot and Ankle Surgery

SN - 1067-2516

IS - 5

ER -