Related Experiment Videos
Surgical treatment for Haglund's deformity
C H Chen1, P J Huang, T B Chen
1Department of Orthopaedic Surgery, Kaohsiung Medical University, Kaohsiung, Taiwan.
Insights
Surgical excision of Haglund's deformity (pump bump) offers a 90% cure rate for posterior heel pain. Full recovery from surgical treatment may take up to two years, with most patients experiencing temporary residual discomfort.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Musculoskeletal Disorders
Background:
- Haglund's deformity, also known as "pump bump," is a frequent cause of posterior heel pain.
- It presents as painful soft tissue swelling near the Achilles tendon insertion.
Purpose of the Study:
- To evaluate the surgical outcomes for Haglund's deformity in patients with failed conservative treatment.
- To assess the long-term efficacy and recovery timeline of surgical intervention.
Main Methods:
- A review of 30 heels in 19 patients who underwent surgical management.
- Surgical technique involved excision of the posterior calcaneal tuberosity and bursectomy.
- A medial longitudinal incision was utilized for the procedure.
Main Results:
- A 90% cure rate was observed, with 27 out of 30 heels successfully treated.
- Only 10% of patients (2 out of 19) experienced persistent pain post-surgery.
- A significant majority (83%) reported residual pain for 0.5 to 2 years before symptom resolution.
Conclusions:
- Surgical treatment for Haglund's deformity yields predictable and favorable outcomes.
- Full symptom recovery following surgery can be lengthy, often requiring up to two years.
Abstract:
Haglund's deformity, or "pump bump" is a common cause of posterior heel pain, characterized clinically by a painful soft tissue swelling at the level of the Achilles tendon insertion. We reviewed 30 heels in 19 patients with failure of conservative treatment. Surgical management consisted of excision of the posterior calcaneal tuberosity and bursectomy through a medial longitudinal incision. The average follow-up period was 6 years (range, 3-10 years). Only 3 heels (10%) in 2 patients had persistent pain. Twenty-seven heels (90%) were cured after operation. However, 25 heels (83%) had residual pain for a half to two years after operation and became free of symptoms thereafter. We conclude surgical treatment of Haglund's deformity produces a predictably good result (90%) but requires a long time about a half to two years for full recovery.