• 1

    Centers for Disease Control: Tuberculosis Statistics in the United States 1989 (HHS Publication No. [CDC] 91-8322), Public Health Service, Atlanta. ,1991. .

  • 2

    Summary of notifiable diseases, United States—1991. .MMWR Morb Mortal Wkly Rep 40::1. ,1992. .

  • 3

    Watts HG, Lifeso RM: Tuberculosis of bone and joints: current concepts review. .J Bone Joint Surg Am 78::288. ,1996. .

  • 4

    Reider HL, Cauthen GM, Comestock GW, et al: Epidemiology of tuberculosis in the United States. .Epidemiol Rev 11::79. ,1989. .

  • 5

    Abdelwahab IF, Kenan S, Hermann G, et al: Atypical skeletal tuberculosis mimicking neoplasm. .Br J Radiol 64::551. ,1991. .

  • 6

    Goldblatt M, Cremin BJ: Osteo-articular tuberculosis: its presentation in coloured races. .Clin Radiol 29::669. ,1978. .

  • 7

    Chapman M, Murray RO, Stoker DJ: Tuberculosis of bone and joints. .Semin Roentgenol 24::266. ,1979. .

  • 8

    Abdelwahab IF, Present DA, Zwass A, et al: Tumorlike tuberculous granulomas of bone: a case report. .AJR Am J Roentgenol 149::1207. ,1987. .

  • 9

    Manzella JP, Vanvoris LP, Hruska JF: Isolated calcaneal tuberculous osteomyelitis. .J Bone Joint Surg Am 16::946. ,1979. .

  • 10

    Richter VP, Konler G, Michels P: Tuberculöse Kalka-neusherde, ihre Behandlung und Diferential diagnose. .Fortschr Röentgenstr 135::583. ,1981. .

    • Search Google Scholar
    • Export Citation
  • 11

    Velasco Dominguez E, Garcia Velasco P, Arranz Velasco JL, et al: Osteitis tuberculosus del calcáneo. .Rev Clin Esp 161::251. ,1981. .

  • 12

    Dhillon MS, Singh P, Sharma H, et al: Tuberculous osteomyelitis of the cuboid: a report of four cases. .J Foot Ankle Surg 39::329. ,2000. .

  • 13

    Mittal R, Gupta V, Rastogi S: Tuberculosis of the foot. .J Bone Joint Surg Br 81::997. ,1999. .

  • 14

    Dhillon MS, Sharma S, Gill SS, et al: Tuberculosis of bones and joints of the foot: an analysis of 22 cases. .J Foot Ankle Surg 14::505. ,1993. .

    • Search Google Scholar
    • Export Citation
  • 15

    Martini M, Adjrad A, Boudjemaa A: Tuberculous osteomyelitis. .Int Orthop 10::201. ,1986. .

  • 16

    Jaovisidha S, Chen C, Ryu KN, et al: Tuberculous tenosynovitis and bursitis: imaging findings in 21 cases. .Radiology 201::507. ,1996. .

  • 17

    Briede PC: Tuberculosis of the greater trochanter and its bursa. .Radiology 44::32. ,1945. .

  • 18

    Bickel WH, Kimbrough RF, Dahlin DC: Tuberculous tenosynovitis. .JAMA 151::31. ,1953. .

  • 19

    Abdelwahab IF, Kenan S, Hermann G, et al: Tuberculous peroneal tenosynovitis. .J Bone Joint Surg Am 75::1687. ,1993. .

  • 20

    Ahlberg A: Tuberculosis of the greater trochanter and trochanteric bursae. .Acta Chir Scand 97::201. ,1948. .

  • 21

    Bocanegra TS: “Mycobacterial, Fungal and Parasitic Arthritides,” in Rheumatology, ed by JH Klippel, PA Dieppe, p 5.1, Mosby–Year Book, London. ,1994. .

  • 22

    Meyerding HW, Mroz RJ: Tuberculosis of the greater trochanter. .JAMA 17::1308. ,1993. .

  • 23

    Schickendantz MS, Watson JT: Mycobacterial prepatellar bursitis. .Clin Orthop 258::209. ,1900. .

  • 24

    Kenin A: Tuberculosis of the subdeltoid bursa. .Bull Hosp Joint Dis 11::128. ,1950. .

  • 25

    Chafetz N, Genant HK, Hoagland FT: Ischiogluteal tuberculous bursitis with progressive bony destruction. .J Can Assoc Radiol 33::119. ,1982. .

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

Ibrahim Fikry Abdelwahab Department of Radiology, New York Methodist Hospital, affiliated with Weill Medical College of Cornell University, Brooklyn, NY.

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Michael J. Klein Department of Pathology, Mount Sinai Medical Center, New York, NY.

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George Hermann Department of Radiology, Mount Sinai Medical Center, New York, NY.

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Mohammed Abdul-Quader Department of Radiology, Columbia Presbyterian Medical Center, New York, NY.

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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)

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