HSS Ultrasound of the Month Case 133

Clinical History

42 year old female with a painful soft tissue mass along the dorsum of the foot, related to tight shoes.

Ultrasound of the Month – Case 133

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Ultrasound of the Month – Case 133

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Ultrasound of the Month – Case 133

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Diagnosis: Adventitious Bursitis Adventitious (Adventitial) bursitis is a fluid collection that forms at pressure points or sites of friction, due to chronic irritation of the soft tissues.

In the foot and ankle, contact with ill-fitting shoes is a common cause of adventitious bursitis.

Adventitious bursitis is not normally present, in contrast to anatomic bursae such as the retrocalcaneal bursa.

Treatment is conservative, including avoiding the ill-fitting shoe, but refractory cases may be amenable to ultrasound-guided aspiration and cortisone injection.

Ultrasound of the Month – Case 133

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