Haglund syndrome

Case contributed by Ali Hekmatnia
Diagnosis almost certain

Presentation

Chronic heel pain

Patient Data

Age: 50 years
Gender: Female
x-ray

There is a posterosuperior calcaneal exostosis and loss of Kager triangle due to retrocalcaneal bursitis. An os trigonum is noted too.

mri

Bony projection at posterosuperior aspect of calcaneous with underlying marrow edema and fluid accumulation at the retrocalcaneal bursa (bursitis), insertional achilles tendinopathy.

Bony plantar calcaneal spur and os trigonum (incidental findings).

Case Discussion

Haglund syndrome is characterized by a painful soft tissue swelling, the so called pump bump, and refers to the Haglund triad of : Insertional Achilles tendinopathy, retrocalcaneal bursitis, Haglund deformity (posterosuperior calcaneal exostosis)

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