La ecografía como valor diagnóstico y de seguimiento ante en un caso clínico de bursitis adventicia

Introduction : The adventitious bursas are structures that appear in the adulthood, as a mechanism of protection against physical forces on the tissue. The reaction to stress by an axial load on the sesamoids will produce repetitive microtrauma, being the main cause an excessive plantar flexion of M1.Clinically we observed signs of inflammation and a fluctuating mass with pain on palpation. Clinical case: We present a 47-year-old woman presented with pain and swelling in the plantar region of the 1st metatarsophalangeal joint of the right foot, of 4 weeks of evolution. In the exploration an increase in the volume of the 1st plantar MTF was observed, with signs of heat, flushing, erythema with pain on direct palpation and joint mobility, which in running and standing caused it to limp. It is confirmed sonographically and radiographically “Active inflammatory bowel bursitis of biomechanical etiology”. Discussion: The treatment was conservative as described by various authors, with excellent results, using foot supports and shoe modifications. No oral anti-inflammatory drugs or local infiltrations were administered. Conclusions: With the ultrasound, it has been possible to provide an accurate diagnosis with low cost, innocuous, in the chiropody consultation, being able to implement the treatment early.