Introduction/Objective Heel deformity accompanied by pain at the attachment
of the Achilles tendon is generally known as Haglund?s syndrome. The
prominence of the posterosuperior part of the heel bone generates pressure
on the retrocalcaneal bursa and Achilles tendon, causing swelling and pain.
The condition itself can be treated using surgical or non-surgical methods.
The aim was to present our first experiences in the endoscopic treatment of
Haglund?s syndrome, employing the three-portal technique. Methods This study
includes ten patients whose surgeries were performed during the period
between January 2019, and May 2020. All interventions were endoscopic with
the three-portal technique used. The diagnosis was made based on the
anamnesis, clinical examination, X-rays, and magnetic resonance imaging
diagnostics. For the evaluation of results, the AOFAS (American Orthopedic
Foot and Ankle Society) score was used. Results The endoscopic findings in
all patients revealed a hypertrophic retrocalcaneal bursa and prominence at
the posterosuperior part of the calcaneus, generating pressure on the
Achilles tendon. By employing the three-portal technique, considerably
better visualization is obtained, enabling easy removal of the degenerated
tissue. The radiographic control image was satisfactory. The result of the
AOFAS score showed a significant improvement after the surgery. Conclusion
The endoscopic approach and the use of the three-portal technique in
resolving Haglund?s syndrome is a secure procedure that produces good
results. It enables faster recovery and fewer complications compared to open
surgery.
