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Haglund's syndrome

E J Sella1, D S Caminear, E A McLarney

  • 1Department of Orthopaedics and Rehabilitation, Yale University, New Haven, CT, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|May 8, 1998
PubMed
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This study introduces a radiographic method to accurately measure bone removal during calcaneal osteotomy for Haglund's syndrome, improving surgical outcomes for heel pain.

Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Biomechanical Engineering

Background:

  • Haglund's syndrome causes heel pain due to inflammation from mechanical stress.
  • Surgical calcaneal osteotomy for Haglund's syndrome has unpredictable outcomes due to inaccurate bone removal measurement.
  • Accurate assessment of bone removal is crucial for effective surgical management of Haglund's syndrome.

Purpose of the Study:

  • To develop and validate a radiographic method for precise measurement of bone removal during calcaneal osteotomy.
  • To correlate osteotomy angle with surgical outcomes in Haglund's syndrome patients.
  • To establish an optimal osteotomy angle for successful surgical treatment of Haglund's syndrome.

Main Methods:

  • A radiographic technique was developed to measure bone removal during calcaneal osteotomy.

Related Experiment Videos

  • Sixteen heels in 13 patients with Haglund's syndrome underwent surgery after failed conservative treatment.
  • Preoperative desired osteotomy angles were compared to actual surgical angles; patient outcomes were assessed using a standardized questionnaire.

    • Main Results:

    • A statistically significant correlation was found between osteotomy angle and patient outcomes (p = .0012).
    • Good surgical results (13 patients) were associated with an average actual osteotomy angle of 49 degrees.
    • Poor surgical results (3 patients) were associated with an average actual osteotomy angle of 61 degrees, with lower patient-reported scores.

    Conclusions:

    • The developed radiographic method allows for accurate measurement of bone removal in calcaneal osteotomy for Haglund's syndrome.
    • Achieving an average osteotomy angle of 49 degrees is recommended for optimal surgical outcomes.
    • This technique aids in decompressing the retrocalcaneal bursa and removing the calcaneal step, addressing the mechanical causes of Haglund's syndrome.