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Landmarks for a Minimally Invasive Approach for Haglund's Deformity: A Cadaveric Study.

Sara Mateen1, James Cottom2, Asma Jappar3

  • 1International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland.

Foot & Ankle Specialist
|November 29, 2023
PubMed
Summary
This summary is machine-generated.

This cadaveric study identifies safe landmarks for a minimally invasive surgical (MIS) approach to Haglund's deformity. The described portals allow for Haglund's deformity resection without neurovascular compromise.

Keywords:
Achilles tendinopathyanchor placementbursaretrocalcaneal exostosissural nervetibial nerve

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Minimally Invasive Procedures

Background:

  • Haglund's deformity involves a calcaneal prominence linked to bursitis and Achilles tendinopathy.
  • Previous endoscopic debridement techniques exist.
  • This study focuses on anatomical landmarks for a minimally invasive surgical (MIS) approach.

Purpose of the Study:

  • To describe the anatomical landmarks for a minimally invasive surgical (MIS) approach to Haglund's deformity.
  • To evaluate the safety of MIS portals in relation to neurovascular structures.

Main Methods:

  • Cadaveric dissection of 12 specimens.
  • Identification of medial and lateral portals for burr and anchor placement.
  • Measurement of distances from neurovascular structures to portals and incisions.

Main Results:

  • Average distance from the sural nerve to the lateral portal: 25.7 mm.
  • Mean distance from the tibial nerve to the medial portal: 35.3 mm.
  • Incisions were 9.3 mm from the calcaneal tuberosity.

Conclusions:

  • The MIS approach for Haglund's deformity resection is feasible.
  • The technique can be performed reliably without compromising neurovascular structures.