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Haglund's Syndrome: A Commonly Seen Mysterious Condition.
Raju Vaishya1, Amit Kumar Agarwal1, Ahmad Tariq Azizi2
1Orthopaedics, Indraprastha Apollo Hospitals.
Cureus
|November 16, 2016
Summary
Haglund's deformity, or pump bump, is a common heel condition caused by bony enlargement irritating soft tissues. Conservative treatments like shoe modifications and physical therapy are usually effective, with surgery reserved for severe cases.
Area of Science:
- Orthopedics
- Podiatry
- Biomechanical Engineering
Background:
- Haglund's deformity, also known as retrocalcaneal exostosis or pump bump, is a prevalent yet poorly understood foot condition.
- It involves bony enlargement at the heel's Achilles tendon insertion site, leading to soft tissue irritation from footwear friction.
- Potential contributing factors include Achilles tendon tightness, high foot arches, and genetic predisposition.
Approach:
- Diagnosis relies on clinical evaluation and lateral ankle radiographs.
- Conservative management strategies are the primary treatment modality.
- Surgical intervention is considered for refractory cases.
Key Points:
- The condition commonly affects middle-aged women and often presents bilaterally.
- Heel pain, exacerbated after rest, is a characteristic clinical symptom.
- Risk factors include footwear choices, foot biomechanics, and hereditary influences.
Conclusions:
- Haglund's deformity necessitates a comprehensive diagnostic approach combining clinical assessment and imaging.
- Conservative treatments, including footwear adjustments, orthotics, physiotherapy, and anti-inflammatory medications, are typically effective.
- Surgical excision of calcaneal exostoses is reserved for cases unresponsive to non-operative management.
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