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Understanding the pathologic Haglund's deformity
R P Reinherz1, B A Smith, K E Henning
1Department of Podiatric Surgery, American International Hospital, Zion, Illinois.
The Journal of Foot Surgery
|September 1, 1990
Summary
Common heel conditions, including bone and soft tissue issues affecting the posterior-superior calcaneus, often begin in childhood. This review covers evaluation and treatment options for these frequent pathologies.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Radiology
Background:
- Pathologic conditions affecting the calcaneus (heel bone) are prevalent.
- These conditions frequently manifest in early childhood.
- The posterior-superior aspect of the heel is a common site for these pathologies.
Purpose of the Study:
- To review common osseous and soft tissue conditions of the posterior-superior calcaneus.
- To discuss the diagnostic approach, including radiographic and clinical evaluation.
- To outline current treatment alternatives for these heel pathologies.
Main Methods:
- Literature review of osseous and soft tissue conditions of the posterior-superior calcaneus.
- Discussion of diagnostic imaging modalities (e.g., X-ray, MRI).
- Synthesis of treatment strategies based on current evidence.
Main Results:
- Identified common calcaneal pathologies include [list specific conditions if known, e.g., Sever's disease, stress fractures, bursitis].
- Radiographic findings and clinical signs are crucial for diagnosis.
- Treatment varies from conservative management to surgical intervention depending on the condition.
Conclusions:
- Early recognition and diagnosis of calcaneal pathologies are essential for effective management.
- A comprehensive evaluation combining clinical assessment and imaging is recommended.
- Appropriate treatment strategies can lead to favorable outcomes for patients with posterior-superior heel conditions.