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MRI in patients with Haglund's deformity and its influence on therapy

Florian Debus1, Hans-Joachim Eberhard2, Manuel Olivieri2

  • 1Gemeinschaftspraxis DREO, Habermehlstraße 8, 75172, Pforzheim, Germany. debus.florian@gmx.de.

Archives of Orthopaedic and Trauma Surgery
|January 23, 2019
PubMed

Insights

Magnetic Resonance Imaging (MRI) does not significantly alter treatment for Haglund

Area of Science:

  • Orthopaedic Surgery
  • Radiology
  • Medical Imaging

Background:

  • Haglund's deformity, an exostosis of the posterior superior calcaneus, frequently causes dorsal heel pain.
  • This condition can lead to Haglund's syndrome, characterized by calcaneal bursitis and Achilles tendinosis.
  • Heel pain is a common orthopedic outpatient complaint.

Purpose of the Study:

  • To investigate the diagnostic role of MRI in Haglund's syndrome.
  • To assess the influence of MRI on therapeutic decisions for Haglund's deformity.

Main Methods:

  • Retrospective analysis of 45 patients with confirmed Haglund's deformity.
  • Patients were categorized into two groups: those who did not receive MRI (MRI_0) and those who did (MRI_1).
  • Fisher's test was employed for statistical significance assessment (p < 0.05).

Main Results:

  • Haglund's syndrome was diagnosed in 86.7% of patients with Haglund's deformity.
  • No statistically significant difference in therapeutic outcomes was observed between the MRI_0 and MRI_1 groups.
  • The average patient age was 57.0 years.

Conclusions:

  • MRI findings did not influence therapy for Haglund's deformity.
  • The use of MRI, a costly and limited investigation, may not be justified for routine Haglund's deformity cases.
  • MRI may be beneficial for atypical heel pain presentations.
Abstract

Keywords:
Haglund’s deformityHaglund’s syndromeHeel painMRI

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