ArticleSurgical and radiologic anatomy : SRA2025
Morphological characteristics of the retrocalcaneal bursal wedge of Kager's fat pad.
Article in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Influence of retrocalcaneal bursal effusion on the mechanical behavior of the Achilles tendon insertion during ankle dorsiflexion: a cadaveric study.Surgical and radiologic anatomy : SRA · 2026Article
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6 authors.
Funding
Abstract
purposeThis study aimed to clarify the morphological characteristics of the retrocalcaneal bursal wedge of Kager's fat pad (KFP-W).
methodsFifty legs from 27 cadavers were examined. The KFP-W was categorized as either a single-lobule or double-lobule type based on the presence or absence of separation into medial and lateral lobules. Separation of the retrocalcaneal bursa was evaluated based on the presence of intrabursal connective tissue. The length, width, and thickness of the KFP-W were also measured.
resultsThe single- and double-lobule types were each observed in 25 ankles (50%). In the single-lobule type, the KFP-W was positioned laterally on the superior facet, leaving a portion of the medial aspect of the facet uncovered, and no separation of the retrocalcaneal bursa was observed. In the double-lobule type, bursal separation was present in 16 ankles (64%), and the lateral lobule was significantly longer, wider, and thicker than the medial lobule (p < 0.05).
conclusionThese findings suggest that the KFP-W is primarily situated lateral to the Achilles tendon insertion, with a smaller or absent structure medially. Therefore, the medial region may exhibit reduced shock-absorbing capacity due to the less prominent KFP-W.
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