Retrocalcaneal bursitis

1. What is retrocalcaneal bursitis and who is it usually seen in?
2. What is the mechanism of developing retrocalcaneal bursitis?
3. What is Haglund's deformity?
4. What is Sever's disease?
5. What is seen clinically in retrocalcaneal bursitis?
6. What is the treatment of retrocalcaneal bursitis?

Answers:
1. Inflammation of the bursae between the superior calcaneus and distal Achilles or behind the Achilles. It is usually seen in women wearing high heeled shoes.
2. Repetitive pressure and shearing from shoes causing bursa inflammation.
3. Enlargement of posterosuperior tuberosity.
4. An independent area of ossification separated from main bone at cartilaginous plate, in young population.
5. Tenderness and swelling at the distal Achilles.
6. Change footwear. Surgical excision of bursae if this fails.