Distended bursa of Gruberi

Case contributed by Dr Dai Roberts

Presentation

Ankle pain, worse when exercising.

Patient Data

Age: 50 years
Gender: Male
MRI

The bursa of Gruberi is distended.  The EDL tendon is normal in thickness.

Minor degenerative type changes are evident at the point of contact between the anterior calcaneum and navicular, raising the possibility of a fibrous coalition. 

Intertendinous deposits of intermediate to high T1 and high T2 weighted signal expand the distal and lateral Achilles tendon, likely unossified calcifications with associated tendinopathy.  

Case Discussion

A distended bursa of Gruberi can be mistaken for EDL tenosynovitis, which will extend along the tendon sheath as opposed to around it and arising from the sinus tarsi 1

Calcaneonavicular coalition is one of the two main types of coalition that occurs in the foot, the other talocalcaneal coalition.

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Case information

rID: 77537
Published: 30th May 2020
Last edited: 31st May 2020
Inclusion in quiz mode: Included

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