The Haglund Painful Heel Syndrome

Heneghan, Margery A.; Pavlov, Helene

doi:10.1097/00003086-198407000-00036

Cited by 71 publications

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“…Haglund [4] first gave the most accurate description through focusing on anatomical variants of the posterosuperior portion of the calcaneus and its relation to the Achilles bursa and tendon. Friction typically results in secondary inflammation of the bursa in the retrocalcaneal region, especially if there are alterations in the normal bony configuration of the calcaneus [5]. Moreover, muscular over-stress itself may, in time, produce degenerative and metaplastic changes of the bone-tendon junction, typical for insertional tendinopathies, with microtears of the tendon junction and areas in which the tendon fibres seem to be torn and fragmented in the same way as in epicondylitis, jumper's knee, etc.…”

Section: Discussionmentioning

confidence: 99%

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Operative treatment of chronic Achilles tendinopathy

Vulpiani

Guzzini

Ferretti

2003

International Orthopaedics

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Seventy-six patients with Achilles tendinopathies (n=86) operated between 1980 and 1995 were retrospectively evaluated at an average follow-up of 13 (5-21) years. Total or gross partial ruptures were excluded. Patients' average age at surgery was 38 (18-58) years. The majority of patients were active in competitive or recreational sports. Tendinopathies were classified in peritendinitis, tendinosis, insertional tendinopathies, and mixed forms. The surgical technique depended entirely on the pathology encountered. For 32 cases of peritendinitis, results were excellent in 26, good in four, and poor in two. For eight cases of tendinosis, results were excellent in four and good in four. For 34 cases of insertional tendinopathy, results were excellent in 22, good in four, fair in four, and poor in four. For 12 cases of mixed tendinopathies, results were excellent in ten and good in two. Forty-nine patients (52 cases) were able to return to sport at the desired level.Résumé Soixante-seize malades avec une tendinopathie d'Achille (n=86) ont été opérés entre 1980 et 1995 et évalués rétrospectivement à un délai moyen de 13 (5-21) années. Les ruptures totales ou partielles importantes ont été exclues. L'âge moyen des malades à la chirurgie était 38 (18-58) années. La majorité des malades était des sportifs soit de loisir soit de compétition. Les tendinopathies ont été classés en: péritendinites, tendinites, tendinopathies d'insertion de et formes mixtes. La technique chirurgicale dépendait de la pathologie. Sur 32 pé-ritendinites, les résultats étaient excellents pour 26, bon pour quatre et mauvais pour deux . Sur huit tendinites, il y avait quatre excellents et 4 bons résultats. Sur 34 tendinopathies d'insertion, les résultats étaient excellents pour 22, bon pour quatre, juste pour quatre, et mauvais quatre. Sur 12 tendinopathies mixtes, les résultats étaient excellents pour dix et bon pour deux. Cinquante-deux malades étaient capables de revenir au sport au niveau désiré.

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Section: Discussionmentioning

confidence: 99%

“…In their opinion there is no difference in pain relief whether a large or small resection is used, but large resections can lead to more severe late complaints [5,6,7]. It is also recommended that all ridges of the calcaneus be carefully removed and rasped smooth so that no prominence is left posterior.…”

Section: Discussionmentioning

confidence: 99%

Operative treatment of chronic Achilles tendinopathy

Vulpiani

Guzzini

Ferretti

2003

International Orthopaedics

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“…Pain in the posterosuperior portion of the calcaneus can be caused by a retrocalcaneal bursitis, enlargement of the superior bursal prominence of the calcaneus (Haglund's deformity), Achilles tendinitis, or inflammation of an adventitious bursa between the Achilles tendon and the skin [4, 6, 8, 12, 19, 22, 24, 29, 31, 32]. In 1928 Haglund [10] described a single case of painful hindfoot caused by an enlarged posterosuperior border of the os calcis and the wearing of rigid lowbacked shoes; classically a calcaneal prominence associated with retrocalcaneal pain is thus called Haglund's disease.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic calcaneoplasty—rationale, surgical technique, and early results: a preliminary report

Jerosch

Nasef

2003

Knee Surg Sports Traumatol Arthrosc

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We present our technique and preliminary results with endoscopic calcaneoplasty in ten patients resistant for conservative therapy for more than 6 months. All patients showed a Haglund spur on radiography; none had a cavovarus deformity. Follow-up ranged from 2 to 12 months (mean 5.2). All patients showed clinical improvement and would undergo for the procedure again. Three showed a good and seven an excellent result in Ogilvie-Harris score. Postoperative radiographic follow-up showed sufficient bone removal in all cases. Surgery lasted on average 46 min (range 28-84). There were no intra- or postoperative complications. Endoscopic calcaneoplasty is an effective minimally invasive treatment option for patients with retrocalcaneal bursitis.

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“…Хирургическое лечение синдрома Хаглунда предполагает либо его резекцию [1,4,6,9,13], либо остеотомию пяточной кости [7,8,10,12,15]. Вариантов краевой резекции пяточной кости несколько -открытая [1,9], чрескожная [4,5] и артроскопическая [13].…”

Section: рисunclassified

Results of Surgical Treatment of Haglund’s Desease

Асланович

Мохаммед²,

Владимировна³

et al. 2013

Traumatology and Orthopedics of Russia

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Цель-оценить результаты операций открытой и чрескожной краевой резекции пяточной кости у пациентов с синдромом Хаглунда. Материал и методы. В период с 2010 по 2012 год прооперирован 21 пациент (26 стоп), средний срок наблюдения составил 21,8 месяца. Всем пациентам была выполнена рентгенография под нагрузкой в боковой проекции, измерения проводились по методикам наклонных параллельных линий и по Fowler-Philip. Открытая краевая резекция пяточной кости выполнена на 8 стопах, чрескожная краевая резекция-на 18 стопах. Оценка клинических результатов проведена по следующим критериям: рецидив деформации, рецидив бурсита, боль при пальпации, боль при ношении обу ви, возможность возвращения к занятиям спортом, удовлетворенность пациента результатом, наличие или отсутствие значимых осложнений. Результаты. Получен 21 хороший, 5 удовлетворительных и 1 неудовлетворительный результат. Значимых отличий результатов в зависимости от способа вмешательства не выявлено. Ключевые слова: болезнь Хаглунда, чрескожная краевая резекция, открытая краевая резекция.

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The Haglund Painful Heel Syndrome

Cited by 71 publications

References 0 publications

Operative treatment of chronic Achilles tendinopathy

Operative treatment of chronic Achilles tendinopathy

Endoscopic calcaneoplasty—rationale, surgical technique, and early results: a preliminary report

Results of Surgical Treatment of Haglund’s Desease

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