title: Comparison of results of retrocalcaneal decompression for retrocalcaneal bursitis and insertional achilles tendinosis with calcific spur.
abstract: Sixteen feet with retrocalcaneal bursitis (RB) and twenty-two feet with calcific Achilles insertional tendinosis (IAT-CS) underwent retrocalcaneal decompression after failure of nonoperative treatment. Follow-up evaluation at least two years after surgery included AOFAS Ankle-Hindfoot subscale scores, satisfaction, time until maximum symptomatic improvement, and radiographs. Statistically significant differences between the groups include the following: IAT-CS patients were older, required nearly twice the time to reach maximum symptomatic improvement, had lower satisfaction rates, had a lower pain score, and more frequently had shoewear restrictions. Radiographic recurrence did not correlate with outcome or symptomatic recurrence.
authors.affiliation: Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA 15212, USA. watsonad@med.unc.edu
authors.forename: A D
authors.initials: AD
authors.lastname: Watson
authors.forename: R B
authors.initials: RB
authors.lastname: Anderson
authors.forename: W H
authors.initials: WH
authors.lastname: Davis
mesh_terms: D000125:Achilles Tendon; D000293:Adolescent; D000328:Adult; D000368:Aged; D002062:Bursitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002111:Calcaneus / Q000601:surgery*; D016009:Chi-Square Distribution; D002908:Chronic Disease; D019299:Decompression, Surgical / Q000379:methods*; D005096:Exostoses / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011336:Probability; D018709:Statistics, Nonparametric; D052256:Tendinopathy / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome