Haglund syndrome

Changed by Daniel J Bell, 1 Oct 2018

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

insertional Achilles tendinopathy
retrocalcaneal bursitis
Haglund deformity (i.e. posterosuperior calcaneal exostosis)

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.

Radiographic features

Plain radiograph

loss of the Kager triangle due to retrocalcaneal bursitis
Achilles tendon measuring >9 mm in thickness two centimetres above the bursal projection due to Achilles tendinopathy
convexity of the soft tissues posterior to the Achilles tendon insertion due to superficial retro-Achilles bursitis
prominent bursal projection of the calcaneum ("pump-bump") or Haglund deformity
Chauveaux-Liet angle >12º

MRI

used in questionable cases
focal enlargement and abnormal signal at Achilles tendon insertion segment
retrocalcaneal and/or retro-Achilles bursal fluid collection(s)
calcaneal bony spur best appreciated on T1 sagittal images
marrow oedema of the posterior calcaneal tuberosity

History and etymology

It was first described by Swedish orthopaedic surgeon Patrick Haglund (1870-1937) ⁷in 1927⁶.

-</ul><h4>History and etymology</h4><p>It was first described by <strong>Patrick Haglund</strong> in 1927<sup> 6</sup>.</p><h4>See also</h4><ul><li><a href="/articles/haglund-deformity">Haglund deformity</a></li></ul>
+</ul><h4>History and etymology</h4><p>It was first described by Swedish orthopaedic surgeon <strong>Patrick Haglund</strong> (1870-1937) <sup>7 </sup>in 1927<sup> 6</sup>.</p><h4>See also</h4><ul><li><a href="/articles/haglund-deformity">Haglund deformity</a></li></ul>

References changed:

7. Seyed B. Mostofi. Who's Who in Orthopedics. (2005) <a href="https://books.google.co.uk/books?vid=ISBN9781846280702">ISBN: 9781846280702</a><span class="ref_v4"></span>

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Haglund syndrome

Updates to Article Attributes

Radiographic features

Plain radiograph

MRI

History and etymology

See also