The Haglund syndrome: initial and differential diagnosis.

Pavlov, Helene; Heneghan, Margery A.; Hersh, Alexander; Goldman, Amy Beth; Vigorita, Vincent T.

doi:10.1148/radiology.144.1.7089270

Cited by 192 publications

(112 citation statements)

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“…The lateral radiographs (Fig. 1a) demonstrated a remarkable posterosuperior calcaneal prominence with positive parallel pitch lines [12] in all patients. Also, the MRI showed a retrocalcaneal bursa with inflammation and swelling.…”

Section: Patientsmentioning

confidence: 88%

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

Hua

et al. 2012

International Orthopaedics (SICOT)

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Purpose The purpose of our study is to make a retrospective evaluation of endoscopic treatment of Haglund's syndrome using a new three portal technique. Methods All 23 patients (25 heels) with a mean age of 27.7 years were evaluated pre-operatively and postoperatively with parallel pitch lines, the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Ogilvie Harris score. Results The mean follow-up was 41 months (range, 30-59 months). There were no obvious complications in our study. In 22 heels, postoperative lateral radiographs showed the achievement of negative parallel pitch lines. The average AOFAS score improved from 63.3±11.9 points pre-operatively to 86.8±10.1 points at final follow-up. There were 14 excellent results, seven good results, two fair results and two poor results. For the Ogilvie Harris score, there were 15 excellent, seven good, one fair, and two poor results. Conclusion An endoscopic procedure using the three portal technique seemed to be a safe and efficacious option for surgical treatment of Haglund's syndrome.

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Section: Patientsmentioning

confidence: 88%

“…However, bony over resection places patients at great risks of lesion of the Achilles tendon insertion and calcaneus fracture [4]. Various radiographic measurements are used to judge the extent of the required bony correction [12,[19][20][21]. But there is absence of a perfect radiographic measurement [6,8,14,22].…”

Section: Discussionmentioning

confidence: 99%

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

Hua

et al. 2012

International Orthopaedics (SICOT)

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“…When posterior calcaneal spur is subtle causing doubt in diagnosis, objective measurements like posterior calcaneal angle or Fowler's angle, (2) parallel pitch line (3) and ChauveauxLiet angle (4) can aid in the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Haglund Syndrome: A Case Report

Indira¹,

Prakash²,

Venkateshwaran³

et al. 2015

jemds

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ABSTRACT:Haglund Syndrome is one of the causes of posterior heel pain. It is the inflammation of the tendoachilles at the calcaneal insertional site and the regional soft tissues. It comprises of insertional Achilles tendinopathy, retrocalcaneal & retroachilles bursitis and posterior calcaneal bony spur. Imaging plays a very important role in the diagnosis as it can be mimicked by several other conditions like isolated retrocalcaneal bursitis, enthesopathies and accessory soleus muscle. Though plain radiograph is the initial modality of investigation, MRI is preferred as it offers superior soft tissue contrast resolution and accurate diagnosis.

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“…Diagnosis can be made on the basis of lateral radiographs of the ankle, which reveals a bony prominence at the posterosuperior part of the calcaneal tuberosity, calcaneal bursal swelling and increased density in the pre-Achilles bursae. 4 MRI may be required for ambiguous and clinically equivocal cases. If present, a bony bump along the postero-superior corner of the calcaneal tuberosity is well visualized on sagittal T1 weighted images.…”

Section: Introductionmentioning

confidence: 99%

Surgical resection of Haglund deformity by lateral approach: our institutional experience on 29 heels

Mir

Ali²,

Khan

et al. 2018

Int J Res Orthop

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Background: Haglund deformity is a common cause of posterior heel pain and consists of a constellation of soft tissue and osseous abnormalities. The treatment starts with conservative approach and ends with surgical treatment in case conservative treatment fails and the symptoms are bothersome. Different surgical procedures and approaches have been used for this deformity. But in the literature, the results have been inconsistent. In this study we evaluated the clinical and functional outcome of osteotomy of the calcaneal tuberosity with debridement of the retrocalcaneal bursa and the Achilles tendon using a lateral approach at our institute.Methods: A total of 29 feet in 25 patients that underwent surgical procedure from August 2013 to March 2017 at our institute were included in this study. The clinical and functional outcome was evaluated using AOFAS ankle-hind foot scale.Results: The mean AOFAS ankle-hind foot score had improved by 32 points from the pre-operative mean score, with a mean score of 86 at the final follow up of one year. Five out of 29 operated feet had superficial surgical site infection in the postoperative period that responded to antibiotic therapy and regular antiseptic dressings. One patient had local betadine allergy.Conclusions: We conclude lateral approach to debridement and calcaneal tuberosity resection is an effective method with good clinical and functional outcome in patients with refractory Haglund deformity.

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The Haglund syndrome: initial and differential diagnosis.

Cited by 192 publications

References 0 publications

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

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

Haglund Syndrome: A Case Report

Surgical resection of Haglund deformity by lateral approach: our institutional experience on 29 heels

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