Minimally Invasive and Endoscopic Treatment of Haglund Syndrome

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Foot and Ankle Surgery

Background:

• Haglund syndrome is characterized by a painful triad: Haglund deformity (posterosuperior calcaneal prominence), retrocalcaneal bursitis, and insertional Achilles tendinopathy.
• Pain originates from the posterior calcaneal wall cartilage, retrocalcaneal bursa, subcutaneous adventitial bursa, and the Achilles tendon.

Purpose of the Study:

• To outline the surgical treatment options for Haglund syndrome.
• To describe various surgical techniques for addressing the components of Haglund syndrome.

Main Methods:

• Surgical interventions include resection of the posterosuperior calcaneal tubercle, bursectomy, and excision of Achilles tendon pathology.
• Procedures like Achilles tendon reattachment, gastrocnemius aponeurotic recession, and flexor hallucis longus transfer are also discussed.
• All surgical options can be performed via endoscopic or minimally invasive approaches.

Main Results:

• Surgical treatments aim to resolve the pain associated with Haglund syndrome by directly addressing its etiological factors.
• Minimally invasive and endoscopic techniques offer potential benefits for patient recovery and outcomes.

Conclusions:

• A range of surgical techniques exist for Haglund syndrome, targeting the specific pathologies involved.
• The choice of surgical approach, including minimally invasive options, should be tailored to the individual patient's condition.