Presentation
Chronic heel pain, limiting mobility
Patient Data
Age: 25 years
Gender: Male
From the case:
Haglund syndrome
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Coronal T2 fat sat
- 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.