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Clinics in diagnostic imaging (170).

Mohammad Taufik Bin Mohamed Shah1, Bak Siew Steven Wong1

  • 1Department of Diagnostic Radiology, Singapore General Hospital, Singapore.

Singapore Medical Journal
|September 25, 2016
PubMed
Summary

Haglund's deformity, a heel condition causing posterior heel pain, can be diagnosed through physical exams and imaging. Surgical intervention can effectively resolve symptoms when conservative treatments fail.

Keywords:
Achilles tendonHaglund’s deformityhind foot painmagnetic resonance imaging

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Area of Science:

  • Orthopedics
  • Radiology
  • Sports Medicine

Background:

  • Haglund's deformity involves a bony enlargement on the calcaneus (heel bone) leading to posterior heel pain.
  • It often causes inflammation of the retrocalcaneal bursa and Achilles tendon.
  • Conservative treatments typically include physical therapy and orthotics.

Observation:

  • A 30-year-old woman experienced six months of left posterior heel pain.
  • Physical examination revealed tenderness, inflammation, and a bony prominence on the posterosuperior calcaneus.
  • Radiography and MRI confirmed a prominent calcaneal tuberosity, retrocalcaneal bursitis, and Achilles tendon pathology.

Findings:

  • Imaging findings were consistent with Haglund's deformity.
  • The patient's symptoms persisted despite a six-month conservative therapy trial.
  • Surgical treatment led to complete symptom resolution without recurrence.

Implications:

  • Haglund's deformity requires accurate clinical and radiological diagnosis.
  • Surgical management is a viable option for recalcitrant cases.
  • Understanding differential diagnoses for hind foot pain is crucial for effective treatment.