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Journal of the American Podiatric Medical Association
Volume 95 Number 3 285-290 2005
Copyright © 2005 American Podiatric Medical Association

Focal Tuberculous Osteomyelitis of the Calcaneus Secondary to Direct Extension from an Infected Retrocalcaneal Bursa

Ibrahim Fikry Abdelwahab, MD *, Michael J. Klein, MD {dagger}, George Hermann, MD {ddagger} and Mohammed Abdul-Quader, MD §

* Department of Radiology, New York Methodist Hospital, affiliated with Weill Medical College of Cornell University, Brooklyn, NY.
{dagger} Department of Pathology, Mount Sinai Medical Center, New York, NY.
{ddagger} Department of Radiology, Mount Sinai Medical Center, New York, NY.
§ Department of Radiology, Columbia Presbyterian Medical Center, New York, NY.

Corresponding author: Ibrahim Fikry Abdelwahab, MD, Department of Radiology, New York Methodist Hospital, 506 Sixth St, Brooklyn, NY 11215.

Abstract

We report a case of focal tuberculous involvement of the posterior margin of the calcaneus with preservation of the articular margin. The route of infection was direct extension through tuberculous retrocalcaneal bursitis, a rare and atypical pathogenesis. Magnetic resonance imaging was helpful in ruling out neoplasm and in limiting the diagnosis to an inflammatory infectious process. (J Am Podiatr Med Assoc 95(3): 285–290, 2005)







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Copyright © 2005 by the American Podiatric Medical Association.