Related Experiment Video
Updated: Mar 16, 2026
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
A Proposed Staging Classification for Minimally Invasive Management of Haglund's Syndrome with Percutaneous and
Turab Arshad Syed1, Anthony Perera1
1Cardiff Regional Foot & Ankle Surgery Unit, Department of Trauma & Orthopaedic Surgery, University Hospital Llandough & University Hospital Wales, Cardiff & Vale University Health Board, Penlan Road, Llandough, Wales, CF64 2XX, UK.
Insights
Minimally invasive surgery for Haglund's syndrome, including endoscopic calcaneoplasty and percutaneous Zadek's osteotomy, offers a less complicated recovery than traditional open surgery for Achilles tendon issues.
Area of Science:
- Orthopedic surgery
- Foot and ankle surgery
Background:
- Haglund's syndrome involves multiple pathologies like Haglund's deformity and insertional Achilles tendonopathy.
- Traditional open surgery for Haglund's syndrome can lead to complications and prolonged recovery.
Purpose of the Study:
- To review evidence for minimally invasive techniques in treating Haglund's syndrome.
- To present a senior author's classification and operative techniques for endoscopic calcaneoplasty and percutaneous Zadek's osteotomy.
Main Methods:
- Review of available evidence for endoscopic calcaneoplasty.
- Review of available evidence for percutaneous Zadek's calcaneal osteotomy (Keck and Kelly's osteotomy).
- Presentation of a senior author's classification and surgical approach.
Main Results:
- Increasing interest in minimally invasive approaches for Haglund's syndrome.
- These techniques aim to reduce complications and improve recovery.
- Evidence review supports these minimally invasive options.
Conclusions:
- Minimally invasive surgery is a viable alternative for Haglund's syndrome.
- Endoscopic calcaneoplasty and percutaneous Zadek's osteotomy offer potential benefits over open surgery.
- The presented classification and techniques provide guidance for managing Haglund's syndrome.
Abstract:
Haglund's syndrome encompasses several different pathologies, including Haglund's deformity, insertional Achilles tendonopathy, retrocalcaneal bursitis, and superficial bursitis. Traditionally treated with open surgery, there is increasing interest in a more minimally invasive approach to this difficult region to reduce complications and improve the rate and ease of recovery. We review the evidence available for 2 of these techniques: the endoscopic calcaneoplasty and percutaneous Zadek's calcaneal osteotomy (also known as Keck and Kelly's osteotomy). The senior author's classification for management of the condition is presented as well as describing his operative technique for these procedures.
