Start Submission Become a Reviewer

Reading: An unusual cause of subtalar pain and instability: accessory calcaneus

Download

A- A+
Alt. Display

Original Article

An unusual cause of subtalar pain and instability: accessory calcaneus

Authors:

C Boulet ,

Department of Radiology, UZ Brussel, Brussels, Belgium
X close

M De Maeseneer,

Department of Radiology, UZ Brussel, Brussels, Belgium
X close

H Everaert,

Department of Nuclear Medecine, UZ Brussel, Brussels, Belgium
X close

M Kichouh,

Department of Radiology, UZ Brussel, Brussels, Belgium
X close

J De Mey,

Department of Radiology, UZ Brussel, Brussels, Belgium
X close

M Shahabpour

Department of Radiology, UZ Brussel, Brussels, Belgium
X close

Abstract

We report on a 45-yr-old male sports instructor with chronic pain and instability of the ankle. He was a recreational basketball player, but because of repeated ankle sprains and chronic subtalar pain this activity became impossible. The radiologic findings were compatible with the diagnosis of accessory calcaneus. In an initial therapeutic approach the patient was treated conservatively with taping and physical therapy, but this failed to relieve the symptoms. Next, a ligamentoplasty was performed. The instability improved, but the pain remained the same. Finally the accessory calcaneus was resected and short term follow-up was unremarkable. Accessory calcaneus is an uncommon anatomical variation that may cause subtalar pain and instability. Resection of the accessory bone may be necessary to provide relief of symptoms. Accessory calcaneus can be well demonstrated on CT, SPECT-CT, and MR. MR and nuclear medicine can indicate instability of the accessory bone by showing bone marrow edema on MR or uptake on fusion imaging.

Keywords: Calcaneus  
How to Cite: Boulet C, Maeseneer MD, Everaert H, Kichouh M, Mey JD, Shahabpour M. An unusual cause of subtalar pain and instability: accessory calcaneus. Journal of the Belgian Society of Radiology. 2012;95(6):357–9. DOI: http://doi.org/10.5334/jbr-btr.722
17
Views
14
Downloads
1
Citations
Published on 01 Nov 2012.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus