Haglund syndrome

Haglund syndrome refers to the triad of

This results in pain at the back of the heel. It is associated with calcaneal spurs, and the wearing of high heels (thus the colloquial term "pump-bump") or stiff backed shoes in general.

Radiographic features

Plain film
  • loss of Kager triangle due to retrocalcaneal bursitis
  • achilles tendon measuring over 9 mm, 2 cm above the bursal projection due to achilles tendinopathy
  • convexity of the soft tissues posterior to the Achilles tendon insertion due to superficial tendo-achillis bursitis
  • prominent bursal projection of the calcaneum ("pump-bump") or Haglund deformity
  • Chauveaux-Liet angle greater than 12º
  • used in questionable cases.
  • focal enlargement and abnormal signal at achilis tendon insertion segment.
  • retrocalcaneal and retro achilis bursal fluid collection.
  • calcaneal bony spur better appreciated at T1 sagittal images.
  • marrow edema of the posterior calcaneal tuberosity.

History and etymology

It was first described by Patrick Haglund in 1927 6.

See also

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