Haglund syndrome

Case contributed by Dr Fateme Hosseinabadi

Presentation

Pain at the back of heel.

Patient Data

Age: 55 years
Gender: Female
MRI

Spur on the posterior proximal calcaneus (a Haglund deformity) and erosion on the posterior calcaneus with a thickened distal Achilles tendon. MRI revealed marrow edema of the posterior calcaneal tuberosity with retro-Achilles and retrocalcaneal burstis. There is high signal intensity with focal enlargement at the Achilles tendon insertion and calcaneal bony spur.

Case Discussion

This disorder is often caused by ill-fitting shoes that compress the distal Achilles tendon. Bony overgrowth and/or erosions of the proximal posterior calcaneus may be associated with this condition.

Case courtesy of Prof. Ali Hekmatnia.

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Case information

rID: 62830
Published: 8th Sep 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Zahedan medical university

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