A Prospective Case Series: Functional Outcomes after Calcaneal Tuberosity Partial Resection for Haglund's Syndrome

The aims and objectives of the study are to evaluate the functional improvement and radiological outcomes following partial resection of the calcaneal tuberosity in patients with Haglund's syndrome unresponsive to conservative management using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system as illustrated in Figure.

From January 2023 to July 2025, 12 adult patients treated at Sree Balaji Medical College Hospital with symptomatic Haglund's syndrome underwent partial calcaneal tuberosity resection and bursectomy. Patients had failed ≥3 months of conservative care. Functional assessments (AOFAS hindfoot score) and lateral radiographs (Fowler-Philip angle, calcaneal pitch, and total calcaneal angle) were recorded preoperatively, and at 6 weeks, 3 months, and final follow-up (minimum 6 months).

Mean AOFAS scores improved from 55.6 preoperatively to 77.5 at 6 months, indicating statistically and clinically significant improvement. No major complications were observed during the follow-up period.

Partial osteotomy of the calcaneal tuberosity offers a safe and effective option for patients with Haglund's syndrome who fail to respond to conservative therapy. It significantly improves function and reduces pain, as evidenced by a consistent rise in AOFAS scores.

Partial osteotomy of the calcaneal tuberosity offers a safe and effective option for patients with Haglund's syndrome who fail to respond to conservative therapy. It significantly improves function and reduces pain, as evidenced by consistent rise in AOFAS scores.