Haglund syndrome

Dr Henry Knipe and A.Prof Frank Gaillard et al.

Haglund syndrome refers to the triad (Haglund's triad) of

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

  • loss of the Kager triangle due to retrocalcaneal bursitis
  • Achilles tendon measuring over 9 mm in thickness 2 cm above the bursal projection due to achilles tendinopathy
  • convexity of the soft tissues posterior to the Achilles tendon insertion due to superficial retroachilles 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 Achilles tendon insertion segment
  • retrocalcaneal and retroachilles bursal fluid collection
  • calcaneal bony spur better appreciated on T1 sagittal images
  • marrow oedema of the posterior calcaneal tuberosity

It was first described by Patrick Haglund in 1927 6.

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Article information

rID: 1422
Synonyms or Alternate Spellings:
  • Haglund's syndrome
  • Haglund disease
  • Pump-bump

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Cases and figures

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    Figure 1: photograph - red high heel pump
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    Case 1
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    Case 2
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    Case 5
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    Swelling of the A...
    Case 5
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    Case 6
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    Case 7
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    Case 8
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    Case 9
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