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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.

The Kaohsiung Journal of Medical Sciences
|November 22, 2001
PubMed
Summary

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.

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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.

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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.