The appearance of the pre-Achilles fat pad after endoscopic calcaneoplasty

Verfasser / Beitragende:
[Johannes Wiegerinck, Ruben Zwiers, Maayke van Sterkenburg, Mario Maas, C. van Dijk]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/8(2015-08-01), 2400-2405
Format:
Artikel (online)
ID: 605459606
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024 7 0 |a 10.1007/s00167-014-2908-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2908-6 
245 0 4 |a The appearance of the pre-Achilles fat pad after endoscopic calcaneoplasty  |h [Elektronische Daten]  |c [Johannes Wiegerinck, Ruben Zwiers, Maayke van Sterkenburg, Mario Maas, C. van Dijk] 
520 3 |a Purpose: To evaluate whether the imaging features of the retrocalcaneal recess normalize on a conventional radiograph after surgery for retrocalcaneal bursitis and evaluate whether it can be reused if complaints reoccur. Methods: Patients who underwent an endoscopic calcaneoplasty at least 2years before were eligible for inclusion. A lateral conventional radiograph of the surgically treated hindfoot was made to assess the retrocalcaneal recess and pre-Achilles fat pad; images were analysed, clinical complaints were registered and evaluated. Radiographs were evaluated by two experienced observers (one orthopaedic surgeon one musculoskeletal specialized radiologist), these scored the images either as "normal” (no obliteration of retrocalcaneal recess and pre-Achilles fat) or as "abnormal”. Results: Thirty patients (34 heels: 28 asymptomatic and 6 recurrent complaints) were included in this study. Observer one rated 12 images as "normal” (2 symptomatic heels and 10 asymptomatic), 22 "abnormal”. Observer two rated 9 "normal” (1 symptomatic heels and 8 asymptomatic), 25 "abnormal”. No correlation between the radiographic appearance and complaints (n.s.) was found. Cohen's kappa for interobserver agreement was low (0.11 n.s.). Conclusion: The appearance of the retrocalcaneal recess on a lateral radiograph cannot be used as a reliable diagnostic criterion for retrocalcaneal bursitis in patients who previously underwent endoscopic calcaneoplasty. This study clinical relevance is based upon the conclusion that a lateral radiograph cannot be used after endoscopic calcaneoplasty, whereas previous work reported the diagnostic value of a lateral radiograph for retrocalcaneal bursitis prior to surgery. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Retrocalcaneal bursitis  |2 nationallicence 
690 7 |a Imaging  |2 nationallicence 
690 7 |a Endoscopic calcaneoplasty  |2 nationallicence 
690 7 |a Kager  |2 nationallicence 
690 7 |a Treatment  |2 nationallicence 
690 7 |a Surgery  |2 nationallicence 
700 1 |a Wiegerinck  |D Johannes  |u Department of General Surgery, Onze Lieve Vrouwe Gasthuis, Oosterpark 9, 1091 AC, Amsterdam, The Netherlands  |4 aut 
700 1 |a Zwiers  |D Ruben  |u Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
700 1 |a van Sterkenburg  |D Maayke  |u Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
700 1 |a Maas  |D Mario  |u Department of Radiology, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
700 1 |a van Dijk  |D C.  |u Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2400-2405  |x 0942-2056  |q 23:8<2400  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2908-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2908-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wiegerinck  |D Johannes  |u Department of General Surgery, Onze Lieve Vrouwe Gasthuis, Oosterpark 9, 1091 AC, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zwiers  |D Ruben  |u Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Sterkenburg  |D Maayke  |u Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maas  |D Mario  |u Department of Radiology, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Dijk  |D C.  |u Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2400-2405  |x 0942-2056  |q 23:8<2400  |1 2015  |2 23  |o 167