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Calcaneal involvement in inflammatory disease.

R P Reinherz1, D P Sheldon, M G Kwiecinski

  • 1American International Hospital, Zion, Illinois.

Clinics in Podiatric Medicine and Surgery
|January 1, 1988
PubMed
Summary

Inflammatory conditions affecting the calcaneus require a thorough differential diagnosis, considering trauma and systemic disease. Imaging and lab tests aid diagnosis, guiding appropriate treatment, including surgery when necessary.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Radiology

Background:

  • The calcaneus can be affected by various inflammatory conditions.
  • Symptoms like swelling and pain may not exclude metabolic causes.
  • Differentiating trauma from inflammatory processes is crucial.

Purpose of the Study:

  • To outline a diagnostic approach for calcaneal inflammatory conditions.
  • To emphasize the importance of a comprehensive differential diagnosis.
  • To guide clinicians on treatment strategies.

Main Methods:

  • Clinical evaluation including patient history (trauma, family history of inflammatory disease).
  • Radiographic assessment (pedal radiographs) for osseous architecture and calcifications.
  • Nuclear medical studies (bone scintigraphy) for further information.

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  • Laboratory tests to supplement objective findings.

    • Main Results:

    • Localized symptoms do not exclude metabolic or systemic inflammatory conditions.
    • Radiographs reveal osseous alterations and abnormal calcifications.
    • Bone scintigraphy and lab tests provide supplementary diagnostic data.
    • A definitive diagnosis is essential for effective treatment planning.

    Conclusions:

    • A systematic approach integrating history, imaging, and laboratory data is vital for diagnosing calcaneal inflammatory conditions.
    • Nonsurgical treatments are preferred, but surgery may be inevitable.
    • Perioperative management must address the underlying inflammatory process.