[Sub-Achilles bursitis--a biomechanical analysis and clinical study]

Z Orthop Ihre Grenzgeb. Mar-Apr 1992;130(2):114-9. doi: 10.1055/s-2008-1040123.
[Article in German]


Chronic inflammations of the distal Achilles tendon correspond frequently to a mechanical irritation of the subcalcaneal bursa. On grounds of the biomechanical analysis an excessive inward bending of the hindfoot is postulated as the reason. So a conception for the clinical therapy is detected. The first measure will be a statics correction of the foot and a local application of antalgics. In case of unsuccessfulness after 3 months the surgical resection of the calcaneus exostosis is performed. After 3 months of conservative treatment 15 of 24 athletic patients are free of pain. The other 9 patients are free of pain 3 months after the surgical treatment. In either case all patients return to their former sports activity 6 months after the beginning of the treatment.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Achilles Tendon / physiopathology*
  • Achilles Tendon / surgery
  • Adult
  • Bursitis / physiopathology*
  • Bursitis / surgery
  • Calcaneus / physiopathology
  • Calcaneus / surgery
  • Cumulative Trauma Disorders / physiopathology
  • Cumulative Trauma Disorders / surgery
  • Exostoses / physiopathology
  • Exostoses / surgery
  • Follow-Up Studies
  • Humans
  • Male
  • Running*
  • Tendinopathy / physiopathology*
  • Tendinopathy / surgery
  • Weight-Bearing / physiology