Endoscopic decompression of the retro-calcaneal space rationale, surgical technique, and early results a preliminary report

The purpose of the present study was to present the technique and preliminary results with endoscopic decompression of the retro-calcaneal space. Endoscopic calcaneoplasty was performed in 10patients [7 male; 3 female]. The average age was 38 years with a range from 27 to 56 years. All patients were resistant for conservative therapy for more than 6 months. All patients showed on X-ray a Haglund spur. Patients with a cavovarus deformity were excluded. The follow-up ranged from 2 to 12 months with an average of 5.2 months. All patients showed clinical improvement and would opt for the same procedure again. Three showed a good and 7 an excellent result in the Ogilvie-Harris score. Postoperative X-ray control showed sufficient bone removal in all cases. Time for surgery lasted on average 46 minutes [range 28 - 84 minutes]. There was no intra- or postoperative complications. Endoscopic decompression of the retrocalca-neal space is an effective minimal invasive treatment option for patients with retrocalcaneal bursitis