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Haglund's syndrome. Two case reports
Florencio Jiménez Martín1, María Dolores Alonso Valdazo2, Gara Díaz Peña1
1Servicio de Rehabilitación, Hospital Universitario La Paz, Madrid, España.
Reumatologia Clinica
|February 13, 2016
Summary
Haglund's syndrome, characterized by heel impingement due to calcaneal spurs, involves Achilles tendinitis and bursitis. Diagnosis uses clinical signs and X-rays, with treatment ranging from conservative measures to surgery.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Haglund's syndrome involves posterior heel impingement.
- It is associated with Haglund's deformity (calcaneal spur), Achilles tendinitis, and retrocalcaneal bursitis.
- The exact cause of Haglund's syndrome remains unclear.
Observation:
- Two cases of Haglund's syndrome were clinically diagnosed and radiographically confirmed.
- Diagnostic imaging utilized lateral ankle radiographs to measure parallel pitch lines.
- One patient received conservative treatment, while the other underwent surgical intervention.
Findings:
- Diagnosis relies on clinical presentation and specific radiographic measurements.
- Conservative treatment options include anti-inflammatory drugs, physical therapy, and supportive footwear.
- Surgical intervention is considered when conservative methods fail to alleviate pain.
Implications:
- Early diagnosis of Haglund's syndrome is crucial for effective management.
- A combination of clinical assessment and radiographic analysis aids diagnosis.
- Treatment strategies should be tailored to individual patient needs, progressing from conservative to surgical approaches if necessary.
