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Haglund's Syndrome: endoscopic or open treatment?
1Orthopedics and Traumatology Operative Unit Forlì Presidia AUSL of Romagna. mlughi@alice.it.
Acta Bio-Medica : Atenei Parmensis
|June 20, 2020
Summary
Haglund's syndrome, characterized by Achilles tendon pain, can be effectively treated with surgical interventions like endoscopic resection or open techniques. These methods offer reliable and reproducible outcomes with minimal complications for patients unresponsive to conservative care.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Podiatry
Background:
- Haglund's syndrome involves pain at the Achilles tendon insertion, often due to retrocalcaneal bursitis and insertional Achilles tendinopathy.
- The condition presents with varied clinical and anatomopathological features.
Purpose of the Study:
- To correlate reliable and reproducible treatment strategies with the specific variables of Haglund's syndrome.
- To evaluate surgical outcomes for Haglund's syndrome when conservative treatments fail.
Main Methods:
- Endoscopic resection of bone deformity and bursa for bursitis-dominant cases.
- Open technique (bridge sutures) for tendinopathy-focused cases.
- Platelet-rich plasma (PRP) infiltration for degenerative insertional tendinopathy.
Main Results:
- Patients achieved optimal clinical and functional recovery despite heterogeneous characteristics and varied post-operative programs.
- No local neurological or skin complications were reported.
- Surgical solutions demonstrated reliability and reproducibility.
Conclusions:
- Surgical interventions are effective for Haglund's syndrome when conservative management is insufficient.
- The adopted surgical approaches are reliable, reproducible, and associated with a low complication rate.
