Chronic heel pain, limiting mobility
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- 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.
1 case question available
Haglund syndrome occurs secondary to repetitive friction and microtrauma between a dorsal calcaneal spur and the Achilles tendon.