Functional Outcome of Endoscopic Decompression of Retrocalcaneal Bursitis : A Retrospective Study

Introduction: Retrocalcaneal bursitis is the inflammation of the bursa present between posterior aspect of heel bone and anterior surface of achilles tendon.The aim of this study to evaluate the functional outcome of endoscopic decompression of retrocalcaneal bursitis.Patients who doesn’t show any improvement through conservative managment such as change of footwear,moist heat,heelpads etc may require surgical intervention. Materials and methods: This study includes 25 patients of both sexes of posterior heel pain which doesn’t respond to conservative managment and may require surgical intervention retrospectively between February 2023 to October 2023 with a follow up period of around 1 year.The functional outcome was assesed by comparing the preop and postop American Orthopedic Foot and Ankle Society (AOFAS) scores. The Maryland score was used postoperatively to visualise patients satisfaction at follow up. Results: A retrospective study was conducted in our institution in 25 patients of age range around 20-70 years with radiological as well as clinically shows signs of retrocalcaneal bursitis.There was no patient loss to follow up . The mean Maryland score at postop was 92 which indicates that 15 patients shows excellent result , 6 patients shows good result, 4 patients shows fair result and no patient shows poor result , the patient also assessed for AOFAS score which also shows significant improvement from preoperative score of 45 to postoperative score of 88 with a follow up period of around 1 year. Conclusions: In retrocalcaneal bursitis patients , arthroscopic(endoscopic) decompression is a safe, effective, and simple procedure. Within the first four months, the majority of patients experienced pain relief and a dramatic improvement in function,cosmetically better with fewer complications.