The superficial calcaneal bursa lies between the posterior heel skin and the Achilles tendon at the superior calcaneal prominence, becoming inflamed from shoe counter pressure against the heel. Unlike the retrocalcaneal bursa which lies deep to the Achilles, the superficial bursa is between the tendon and the overlying skin, producing a posterosuperior heel swelling visible under the skin.
Reduces friction between the posterior heel skin and the shoe counter at the superior calcaneal prominence
Superficial calcaneal bursitis (pump bump) is caused by rigid-backed shoes (particularly high heels and pumps) pressing repeatedly against the posterior superior calcaneal prominence (Haglund deformity). The resultant soft tissue swelling superficial to the Achilles is treated with soft-backed footwear, heel lifts, and occasionally steroid injection. Surgical excision of the Haglund deformity with bursal excision is performed for refractory cases.
Superficial calcaneal bursal inflammation from shoe counter irritation against the posterior heel producing bursitis managed with footwear modification.
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