Presentation
Aggravating posterior ankle and heel pain not improved on medical treatment.
Patient Data
Age: 40 years
Gender: Female
From the case:
Haglund syndrome
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Sagittal T1

Tendo-Achilles insertion heterogenous segmental thickening as well as intra-substance abnormal intermediate to high signal intensity with underlying marrow edema of the posterior calcaneal tuberosity and cortical irregularities
Bony prominence is seen on the postero-superior aspect of the calcaneal tuberosity.
Associated mild retrocalcaneal bursitis.
Case Discussion
The triad of insertional Achilles tendinopathy, retrocalcaneal bursitis and postero-superior calcaneal spur are diagnostic of Haglund syndrome.