Persistent Haglund’s disease after conventional treatments: the innovative role of radiotherapy

Chio, Francesca Di; Cecere, Annagrazia; Troiano, Michele; Mardighian, Andrea; Parisi, Salvatore; Guglielmi, Giuseppe

doi:10.1259/bjrcr.20150272

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…To the best of the authors’ knowledge, this is the first case report that compares the management of a common MSK disease like HS performed by a PT in DA, with the usual GP-led care. Despite the major clinical signs and symptoms of HS being clearly reported in the literature [ 18 ], and its symptom presentation may be various [ 19 , 20 ], a trained MSK healthcare professional should know how to recognize this type of MSK disorder, which usually causes pain or discomfort limited to the foot/Achilles tendon or posterior tibial region [ 21 , 22 ]. As in the present case, several scientific papers stated that experienced PTs have the knowledge needed for managing MSK conditions, even more than medical students and all physician specialists, except for orthopedists [ 23 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access

Maselli¹,

Storari²,

Barbari³

et al. 2021

Healthcare

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Haglund’s syndrome (HS) is a painful condition that is caused by an exostosis of the posterior superior part of the calcaneus coupled with Achilles tendinopathy and retrocalcaneal bursitis. Both for the proper musculoskeletal assessment and for the differential diagnosis process of possible concurrent diseases deriving from other anatomical areas, the diagnosis of HS is still a challenge. Case Presentation: A 41-year-old male amateur runner was diagnosed and treated for low back pain and referred leg pain by his general practitioner. Due to ineffective results, he self-presented to a physical therapist (PT) with intense right heel pain, radiating up to the leg and to the lumbopelvic region. Results: The PT’s examination and interview relating to the sports activities led to the correct diagnosis and a proper orthopedic referral. At the one-year follow-up, the patient reported regular pain-free marathon running. Discussion: This case report highlights the central role of PTs working in direct access environments as primary care healthcare professionals for the management of musculoskeletal diseases, and their abilities in identifying patients with suspected pathologic conditions that may need referral for imaging, medical assessment or surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access

Maselli¹,

Storari²,

Barbari³

et al. 2021

Healthcare

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“…Conventional treatment for Haglund's deformity involves resting, wearing modified shoes, medical therapy and in selected cases, surgery ( 26 ). Open surgery is no longer executed due to the trauma it causes and the relatively high risk of infection ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

Functional follow‑up after endoscopic calcaneoplasty for Haglund's deformity using the biodex isokinetic muscle testing system: A case series

Yang

Wei

et al. 2020

Exp Ther Med

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Isokinetic muscle strength test implemented by the Biodex system is a method used for evaluating muscle function that has been applied clinically in the field of sports and rehabilitation medicine. However, information on its application on Haglund's deformity remain insufficient. Therefore, the present study examined the effectiveness of the muscle strength test using the Biodex system in evaluating the recovery of athletic capacity in patients with Haglund's deformity following endoscopic surgery. In total, 34 patients treated by the authors from June 2012 to November 2018 at Peking University Third Hospital (Beijing, China) were included. To compare muscle strength before surgery, then 3 and 6 months after surgery, using the uninjured side as the control, the Biodex system test was conducted in parallel to the collection of the American Orthopaedic Foot and Ankle Score values and visual analog scale scores. The Biodex system test results showed that Haglund's deformity mainly hinders plantar flexion strength. Patients recovered daily living capacity within 3 months and athletic capacity within 6 months following surgery, which matched the AOFAS values, VAS scores and the self-assessments of the patients. These findings suggest that the Biodex system can dynamically reflect the degree of postoperative recovery in Haglund's deformity.

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Functional Outcomes Following Partial Osteotomy of the Calcaneal Tuberosity for Haglund’s Syndrome

Elangovan,

Sekar

et al. 2024

Cureus

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Persistent Haglund’s disease after conventional treatments: the innovative role of radiotherapy

Cited by 3 publications

References 18 publications

Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access

Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access

Functional follow‑up after endoscopic calcaneoplasty for Haglund's deformity using the biodex isokinetic muscle testing system: A case series

Functional Outcomes Following Partial Osteotomy of the Calcaneal Tuberosity for Haglund’s Syndrome

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