Retrocalcaneal Pain: Diagnostic ultrasound case study

Hey MArt:
HAHAHA
You are funny. Actually I don't own a porsche, I do have 2 mercedes though. Does that make up for it?

I have my man working on the MicroMaxx system for me. I've pretty much decided it's the best one for my needs. I still can't find one for less than 16K. Since december has come and gone and I missed out writing off this purchase for 2009 I'm in not real rush now.

Yes, I do believe that's what I saw. I don't call it a synovial fold though. I like to call it Arbes' Projection. Kinda cute don't you think?

Steve

 

Hi Mart:
Getting use to my new US. I've done a few Dx US for retrocalcaneal pain and they all seem to have the "W" fatty "bursae" moving ant-post with DF/PF. I happen to have performed surgery on one yesterday and the fatty area looked fat intraoperatively as well. Large globules with no apparent sac around them. IF you look back at the photo from my Jan 4 post on this thread, that is pretty much what they always look like.

Steve

 

Hi Steve

Glad to hear that you have got the US up and running.

When you say "that is pretty much what they always look like" that implied that the synovial fold was present but what about the RCB, was it enlarged in these cases or normal on US and macroscopically in surgery? If intraoperatively the RCB appeared abnormal, how so and was there any flow with power doppler imaging?

cheers

Martin


The St. James Foot Clinic
1749 Portage Ave.
Winnipeg
Manitoba
R3J 0E6
phone [204] 837 FOOT (3668)
fax [204] 774 9918
www.winnipegfootclinic.com

 

Hi Mart:
Having fun with my US!
Hoping to get some pictures for you today. I Dx chondromatosis - ankle via my handydandy overpriced US machine. I'm doing an ankle scope on him this afternoon. I think you (and I) will enjoy correlating the pre-op US with my intraoperative photos.

Now...if there are no joint mice.....then........ you may not hear back from me on this subject!!!!!!!!

Steve

 

Hi Steve

Please start another thread on this case irrespective of surgical findings. This would be very useful for honing interpretation skills especially if you have any other imaging modality we could cross correlate with. With this fairly rare kind of condition, the US images with actual surgical appearance would be really valuable even if your initial US impression was wrong.

look forward to seeing this

cheers

Martin


The St. James Foot Clinic
1749 Portage Ave.
Winnipeg
Manitoba
R3J 0E6
phone [204] 837 FOOT (3668)
fax [204] 774 9918
www.winnipegfootclinic.com

 

Hi Mart:
Got some good intraoperative pictures today with the scope. He did have a loose body as well as a large spur on the talar neck-head.
I have a full day in the office tomorrow (yikes) then off to chicago for the holiday (memorial day weekend here)
I'll try to get the new thread started next Tuesday.
I'll put it in the surgery area.
Steve

 

Osteochondroma of the calcaneus presenting as Haglund's deformity.
Jung HG, Carag JA, Park JY, Bae EJ, Lim SD, Kim HS.
Foot Ankle Surg. 2011 Jun;17(2):e20-2