Endoscopic treatment of Haglund’s syndrome with a three portal technique

Wu, Ziying; Hua, Yinghui; Li, Yunxia; Chen, Shiyi

doi:10.1007/s00264-012-1518-5

Cited by 28 publications

(33 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Haglund's syndrome is recognized to cause heel pain ( 1 , 2 ). Repeated pressure caused by calcaneus in dorsiflexion on the retrocalcaneal bursa and Achilles tendon occasionally leads to aching bursitis and insertional Achilles tendinopathy ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Modified Bunnell suture expands the surgical indication of the treatment of Haglund's syndrome heel pain with endoscope

Ding

Chen

et al. 2018

Exp Ther Med

View full text Add to dashboard Cite

The aim of the present study was to develop a method which can solve the problem of partial tearing of the Achilles tendon insertion caused by the debridement for Haglund's syndrome using endoscopy-assisted percutaneous repair. Seven patients with Haglund's syndrome were prospectively recruited. All 7 patients (3 female, 4 male) had intratendinous calcifications. Preoperative diagnosis was made according to the clinical symptoms and diagnosis, medical examination results, plain film radiographs, and magnetic resonance imaging. The patients whose average age was 35.2 years, had experienced symptoms and were treated by conservative methods for 12–24 months (average 17.1 months). All 7 cases were treated with debridement of Achilles tendon insertion site with a standard 4.0 mm bur and underwent repair treatment with a modified Bunnell suture method under direct visualization using arthroscopy. The American Orthopaedic Foot and Ankle Society (AOFAS) score and the changes of the patient's parallel pitch lines were used to evaluate and assess the results. The follow-up period averaged 22 months. The lateral X-ray film after operation of all the heels of the patients showed that sufficient osseous planning of all the patients was completed. None of the patients converted to conventional open surgery. The average AOFAS scores of the 7 cases were improved significantly at final follow-up compared to pretherapy (P<0.005). The results of 5 of the 7 cases were excellent, 2, were good, and 0 was fair or poor. None of the cases had permanent nerve injuries, wound infections or Achilles tendon avulsion. Our study is a supplement of endoscopic repairing and strengthening of the Achilles tendon. The advantages and clinical significance of endoscopy during the treatment of Haglunds syndrome under the premise of strict control of operation indications were further verified.

show abstract

Section: Introductionmentioning

confidence: 99%

Modified Bunnell suture expands the surgical indication of the treatment of Haglund's syndrome heel pain with endoscope

Ding

Chen

et al. 2018

Exp Ther Med

View full text Add to dashboard Cite

show abstract

“…The treatment of IAT and retrocalcaneal bursitis requires nonsurgical treatment for 3 months, 4,24,38 which can include the following: (i) changing the way the patient exercises, such as encouraging the use of a fixed bicycle to reduce the load on the Achilles tendon; (ii) choosing shoes that avoid direct pressure on the Achilles tendon; (iii) topical application or oral administration of nonsteroidal analgesics; (iv) application of a brace fixation at night to alleviate the pain in the morning and to help improve the flexibility of the Achilles tendon. In the past 10 years, there has been more research on the application of biological agents to improve the repair and healing of the Achilles tendon, and regenerative medicine such as extra-corporeal shock wave therapy and platelet-rich plasma, providing a new direction for the treatment of IAT and retrocalcaneal bursitis.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment for insertional Achilles tendinopathy and retrocalcaneal bursitis: more than 1 year of follow-up

et al. 2021

View full text Add to dashboard Cite

Objective To analyse the imaging changes in bone marrow oedema of the calcaneal prominence, retrocalcaneal bursa and degenerative Achilles tendon after the surgical treatment of insertional Achilles tendinopathy (IAT). Methods This retrospective study analysed patients with IAT and retrocalcaneal bursitis that were diagnosed based on their symptoms and radiographic and magnetic resonance imaging (MRI) examinations. For patients that had received 3 months of conservative treatment but still presented with symptoms, arthroscopic debridement of the retrocalcaneal bursa and resection of calcaneal prominence were undertaken. Patients with degeneration of the Achilles tendon underwent debridement of Achilles tendon calcification with an open incision. The last follow-up included radiographic and MRI imaging, Visual Analogue Scale (VAS) pain scores and American Orthopedic Foot and Ankle Society (AOFAS)-Ankle and Hindfoot scores. Results Thirty patients were included (mean ± SD follow-up, 3.1 ± 0.5 years). The VAS pain and AOFAS-Ankle and Hindfoot scores were significantly improved after surgery. MRI showed that bone marrow oedema of the calcaneal prominence and the retrocalcaneal bursa was significantly reduced compared with preoperative values. There was no significant change in the high signal area of the IAT. Conclusion Surgical treatment of IAT and retrocalcaneal bursitis effectively alleviated local pain and restored function.

show abstract

“…Arthroscopic techniques can be used to effectively resect Haglund deformity, as they involve less surgical trauma, induce faster recovery, and result in fewer complications, thereby improving surgical outcomes. 11,36 Arthroscopic techniques can also be used for the debridement of Achilles tendon degeneration, Achilles tendon augmentation, Achilles tendon reconstruction, and gastrocnemius recession. 6,22,33 Existing studies show that arthroscopic techniques can yield good results in these applications, but because of the small number of studies and the difficulty with the arthroscopic determination of criteria for an Achilles tendon lesion and its management, more high-level evidence-based studies are needed to elucidate the effectiveness of these applications.…”

Section: Discussionmentioning

confidence: 99%

Chinese Consensus on Insertional Achilles Tendinopathy

Liu

Hua

et al. 2019

Orthopaedic Journal of Sports Medicine

Self Cite

View full text Add to dashboard Cite

Background:Insertional Achilles tendinopathy (IAT) is a common finding in the clinic. However, consensus on its mechanism, pathological process, diagnosis, treatment, and rehabilitation is lacking. Thus, the Chinese Society of Sports Medicine organized and invited experts representing the fields of ankle disease and tendinopathy to jointly develop an expert consensus on IAT.Study Design:A consensus statement of the Chinese Society of Sports Medicine.Methods:A total of 34 experts in the field of sports medicine and orthopaedics were invited to participate in the compilation of a consensus statement regarding IAT. Consensus was achieved according to the Delphi method. First, 10 working groups composed of 34 experts were established to compile draft statements about clinical problems related to IAT by reviewing and analyzing the available literature. An expert consensus meeting to discuss drafts was then arranged. Each statement was individually presented and discussed, followed by a secret vote. Consensus was reached when more than 50% of the experts voted in its favor. The strength of the proposed recommendation was classified based on the proportion of favorable votes: consensus, 51% to 74%; strong consensus, 75% to 99%; unanimity, 100%.Results:Of the 10 expert consensus statements on the clinical diagnosis and treatment of IAT, there was strong consensus for 8 statements and unanimity for 2 statements.Conclusion:This expert consensus focused on the concepts, causes, pathological process, clinical diagnosis, and treatment of IAT. Accepted recommendations in these areas which will assist clinicians in carrying out standardized management of related diseases.

show abstract

Endoscopic treatment of Haglund’s syndrome with a three portal technique

Cited by 28 publications

References 17 publications

Modified Bunnell suture expands the surgical indication of the treatment of Haglund's syndrome heel pain with endoscope

Modified Bunnell suture expands the surgical indication of the treatment of Haglund's syndrome heel pain with endoscope

Surgical treatment for insertional Achilles tendinopathy and retrocalcaneal bursitis: more than 1 year of follow-up

Chinese Consensus on Insertional Achilles Tendinopathy

Contact Info

Product

Resources

About