Insertional Achilles Tendinosis With Associated Retrocalcaneal Bursitis And Evidence Of A Haglund Deformity

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now open for the 2026 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2026 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Communications
  - Collaborate.AMSSM.org
  - New Branding Campaign
  - AMSSM Member Marketing Toolkit
  - Journal Access
  - Publications/Position Statements
  - Press Releases
  - Brochures
  - Weekly Digests
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Insertional Achilles Tendinosis With Associated Retrocalcaneal Bursitis And Evidence Of A Haglund Deformity

Authors, Editors, Case Information Author: Swetha Sundaram, MS Affiliation: Rowan-Virtua School of Osteopathic Medicine Co Author(s): Cameron Taylor, DO Altamash Raja, DO, RMSK, CSCS Senior Editor: Michael Krill, MD, ATC Clinical Vignette: 69 year old active male presents with left ankle pain that has persisted for the past month due to excessive walking in dress shoes. Physical examination revealed tenderness at posterior heel/calcaneus. Type of Probe Used: 15-4 MHz Linear Transducer Labeled Long Axis View of the Midportion Achilles Tendonwith Doppler of Achilles Tendon Labeled long axis view of the midportion Achilles tendon with Doppler imaging. The thickness of the tendon is outlined as well as the areas of hyperemia noted in red by Doppler. #2 - Video View Video Unlabelled short axis video of the insertional Achilles Tendon and Calcaneus with the proximal part of the ankle at the top and the distal part at the bottom. The left side is lateral, and the right side is medial. Labeled Short Axis View of the Insertional Achilles Tendon and Calcaneus Labeled short axis view of the insertional Achilles tendon and calcaneus. A yellow circle is around hyperechoic structures which are calcifications creating shadowing (white arrow). Labeled Long Axis View of the Insertional Achilles Tendon and Calcaneus Unlabeled Short Axis Insertional Achilles Tendon Unlabeled short axis view of the insertional Achilles Tendon and calcaneus. Unlabeled Long Axis Midsubstance Achilles Tendon with Doppler Unlabeled long axis view of the midportion Achilles tendon with doppler imaging. Unlabeled Long Axis Insertional Achilles Tendon Unlabeled long axis view of the insertional Achilles tendon and calcaneus. Interpretation Image Interpretation: The Achilles tendon is thickened and hypoechoic, with marked hyperemia, most notable along the mid-tendinous portion. The retrocalcaneal bursa is distended, without hyperemia, but sonopalpatory pain is appreciated here. At the distal Achilles insertion, several small, hyperechoic foci are noted with posterior acoustic shadowing, consistent with calcifications and bony changes. The constellation of these clinical and sonographic findings suggests both midportion and insertional achilles tendinosis with associated retrocalcaneal bursitis and evidence of a Haglund deformity.
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back		Top

Authors, Editors, Case Information

Labeled Long Axis View of the Midportion Achilles Tendonwith Doppler of Achilles Tendon

#2 - Video

Labeled Short Axis View of the Insertional Achilles Tendon and Calcaneus

Labeled Long Axis View of the Insertional Achilles Tendon and Calcaneus

Unlabeled Short Axis Insertional Achilles Tendon

Unlabeled Long Axis Midsubstance Achilles Tendon with Doppler

Unlabeled Long Axis Insertional Achilles Tendon

Interpretation

UPCOMING EVENTS

FIND A SPORTS DOC