Haglund deformity with insertional Achilles tendinosis and retro-calcaneal bursitis

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Pain and swelling related to the posterior aspect of the heel.

Patient Data

Age: 60 years
Gender: Male

A small bony prominence is seen in the posterior superior aspect of the calcaneus bone. Partial obliteration of the Kager pad of fat is seen suggestive of retrocalcaneal bursitis.

  • The distal tendo-Achilles shows mild thickening with intra-substance intermediate signal intensity in all sequences.
  • A lobulated 2.7 X 1.8 cm cystic lesion is seen at the retro-calcaneal region representing distended bursa.
  • A small bony prominence is seen at the posterior superior calcaneus.
  • Marrow edema signal of the dorsal calcaneus with patchy area of low T1 and high STIR and GRE signal.
  • Intact other tendons around hind foot
  • Normal collateral ligaments.
  • No joint effusion.

Case Discussion

The above described findings are those of Haglund deformity of the dorsal calcaneus with distal (insertional) Achilles tendinitis as well as retro-calcaneal bursitis and marrow edema of the dorsal calcaneus.

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Case information

rID: 28490
Case created: 27th Mar 2014
Last edited: 20th Aug 2016
Inclusion in quiz mode: Included

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