Haglund syndrome - bilateral

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Bilateral ankle pain.

Patient Data

Age: 50 years
Gender: Female

Left ankle

mri
  • abnormal increased fluid signal along the course of the Achilles tendon next to the insertion site related to insertional Achilles tendinopathy
  • subtle bone marrow edema at the posterosuperior aspect of the calcaneus
  • retro calcaneal bursitis
  • tendinosis of extensor digitorum longus associated with multilocular synovial cyst next to tendon sheath measuring about 15*20 mm
  • calcaneal spur

Right ankle

mri
  • insertional achilles tendinopathy
  • subtle subchondral bone marrow signal changes at the insertion site of the achilles tendon
  • retrocalcaneal bursitis
  • calcaneal spur

Case Discussion

Haglund syndrome refers to the triad (Haglund's triad) of:

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