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Haglund's deformity and retrocalcaneal bursitis

M M Stephens1

  • 1Cappagh Orthopaedic Hospital, Dublin, Ireland.

The Orthopedic Clinics of North America
|January 1, 1994
PubMed
Summary
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Haglund's deformity involves prominent heel bone projections causing pain and swelling, often worsened by footwear. Conservative treatment is recommended first, with surgery reserved for persistent cases.

Area of Science:

  • Orthopedic Surgery
  • Podiatry
  • Radiology

Background:

  • Haglund's deformity is characterized by excessive bursal projection on the calcaneus.
  • It is associated with retrocalcaneal bursitis, pain, and swelling, often exacerbated by footwear and foot deformities like cavo varus.
  • High heels and rigid heel counters commonly aggravate the condition.

Purpose of the Study:

  • To describe the radiological features of Haglund's deformity.
  • To outline the diagnostic criteria and treatment modalities for Haglund's deformity and associated Haglund's disease.
  • To evaluate the efficacy of surgical intervention and post-operative rehabilitation.

Main Methods:

  • Radiological assessment using measurements such as superior calcaneal angle, calcaneal inclination, posterior calcaneal angle, and the upper parallel pitch line.

Related Experiment Videos

  • Review of conservative treatment approaches.
  • Evaluation of surgical outcomes, focusing on bone resection, nerve preservation, and tendon integrity.

    • Main Results:

    • Radiological signs include a superior calcaneal angle >75 degrees, combined calcaneal inclination and posterior calcaneal angle >90 degrees, and excessive bone above the upper parallel pitch line.
    • Conservative management is the primary treatment strategy.
    • Surgical results are satisfactory when adequate bone is removed without damaging nerves or the Achilles tendon.

    Conclusions:

    • Haglund's deformity and disease require a stepwise treatment approach, prioritizing conservative methods.
    • Surgical intervention for Haglund's deformity can yield good results with careful technique and appropriate post-operative rehabilitation.
    • Effective rehabilitation is crucial for restoring function after surgery.