The retrocalcaneal bursa sits between the Achilles tendon and the posterior calcaneus, reducing friction between the tendon and bone during ankle movement.
Retrocalcaneal bursitis produces posterior heel pain deep to the Achilles tendon, often associated with Haglund's deformity (a prominent posterior calcaneal prominence) and presents with tenderness in the two-finger squeeze test medial and lateral to the tendon above the heel.
Posterior heel pain deep to the Achilles tendon from bony impingement — often associated with Haglund's deformity and managed with heel lifts, footwear modification, and injection before considering surgical bursectomy.
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