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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
Summary
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.
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.

