Upload
ritesh-mahajan
View
749
Download
2
Embed Size (px)
DESCRIPTION
MR PRESENTATION ON HAGLUNDS DEFORMITY
Citation preview
TRIAD OF1. RETROCALCANEAL BURSITIS2. TENDOACHILLES BURSITIS3. PARTIAL TEAR OF THE
ACHILLES TENDON
FREELANCE RADIOLOGYCONTINUATION OF BASIC DIAGNOSTIC RADIOLOGY
HAGLUNDS DEFORMITY ( PUMP AND HUMP
DEFORMITY)
HAGLUND’S DEFORMITY
( PUMP/ HUMP DEFORMITY)
Two bursae are appreciated in relation to distal attachment of the Achilles tendon .
Retrocalcaneal bursae.
Tendoachilles bursae
RETRO CALCANEAL BURSAE
RETROACHILLES BURSAE
Tear drop shaped bursae Present along Posterior
aspect of the upper calcaneum .
Little fluid is appreciated in the bursae if it is not inflammed.
Distension of bursae with fluid and inflammatory thickening of the synovium is sequael to bursitis .
Patient presents with heel pain
Chronic overuse / illfitting foot wear / inflammatory arthropathy .
Acquired adventitious bursae
Located posterior to distal Achilles tendon .
HAGLUND’S DEFORMITY ( PUMP/ HUMP DEFORMITY)
SAGITTAL T2W SEQUENCE
TEAR DROP SHAPED PRE ACHILLES BURSAE IS FLUID FILLED AND HAS SYNOVIAL THICKENING APPRECIATED IN CASE OF INFLAMMATION
RETROCALCANEAL BURSITIS
SAGITTAL STIR SEQUENCE
TENDOACHILLES BURSITIS
FAINT STREAK OF EDEMA IS APPRECIATED IN THE REGION DORSAL TO ACHILLES TENDON.
SAGITTAL STIR SEQUENCE
THICKENED ACHILLES TENDON AND INTERSPREAD BRIGHT SIGNAL STREAKS S/O PARTIAL TEAR IN THE DISTAL ACHILLES TENDON.
SAGITTAL T1W SEQUENCE
BONY SPURS ALONG
•INSERTION SITE OF THE ACHILLES
•PLANTAR ASPECT OF THE CALCANEUM
CORONAL T2W SEQUENCE
PREACHILLES BURSAE
( FLUID IN THE CORE OF THE BURSAE )
( SYNOVIAL THICKENING)
CORONAL STIR SEQUENCE
ILLDEFINED INNER CONTOUR OF THE INFLAMMED PREACHILLES BURSAE.
FLUID SIGNAL OF THE CORE IS BETTER APPRECIATED ON STIR SEQUENCE.
AXIAL STIR SEQUENCE
BETTER DEPICTION OF PREACHILLES POSITION OF THE BURSAE
COMPONENTS OF HAGLUNDS
DEFORMITY
RETROCALCANEAL BURSITIS
MARROW EDEMA IN THE CALCANEUM
THICK ACHILLES TENDON WITH PARTIAL TEAR
TENDOACHILLES BURSITIS