Haglund syndrome

Case contributed by Khaloud Alghamdi

Presentation

Chronic heel pain, limiting mobility

Patient Data

Age: 25 years
Gender: Male
MRI
  • Mild insertional Achilles tendinosis involving the distal 2 cm of the tendon and a tiny, low-grade intra-substance partial tear at its calcaneal insertion.
  • Mild retrocalcaneal bursitis and subtle soft-tissue edema in the pre-Achilles soft tissues.
  • Prominent osseous bump along the superior aspect of the posterior calcaneus, with an associated erosion and surrounding bone marrow edema.

The overall findings are suggestive of Haglund syndrome.

Case Discussion

Haglund syndrome occurs secondary to repetitive friction and microtrauma between a dorsal calcaneal spur and the Achilles tendon.

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