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Haglund Syndrome
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Pump bump: Osseous and soft tissue prominence caused by Haglund deformity
            • Pre-Achilles bursa = retrocalcaneal bursa
          • Definitions

            • Haglund deformity: Enlarged superior margin of calcaneal posterior process
            • Haglund triad (Haglund syndrome): Haglund deformity + insertional Achilles tendinopathy + pre-Achilles bursitis

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • MR Findings

                  • Ultrasonographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Relevant Anatomy

                          CLINICAL ISSUES

                          • Presentation

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                Selected References

                                1. Bulstra GH et al: Can we measure the heel bump? Radiographic evaluation of haglund's deformity. J Foot Ankle Surg. 54(3):338-40, 2015
                                2. Kang S et al: Insertional Achilles tendinitis and Haglund's deformity. Foot Ankle Int. 33(6):487-91, 2012
                                3. Den Hartog BD: Insertional achilles tendinosis: pathogenesis and treatment. Foot Ankle Clin. 14(4):639-50, 2009
                                4. Erdem CZ et al: MR imaging features of foot involvement in patients with psoriasis. Eur J Radiol. 67(3):521-5, 2008
                                5. Ortmann FW et al: Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis. Foot Ankle Int. 28(2):149-53, 2007
                                6. Yodlowski ML et al: Surgical treatment of Achilles tendinitis by decompression of the retrocalcaneal bursa and the superior calcaneal tuberosity. Am J Sports Med. 30(3):318-21, 2002
                                7. Narváez JA et al: Painful heel: MR imaging findings. Radiographics. 20(2):333-52, 2000
                                8. Bottger BA et al: MR imaging of the normal and abnormal retrocalcaneal bursae. AJR Am J Roentgenol. 170(5):1239-41, 1998
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Synonyms

                                          • Pump bump: Osseous and soft tissue prominence caused by Haglund deformity
                                          • Pre-Achilles bursa = retrocalcaneal bursa
                                        • Definitions

                                          • Haglund deformity: Enlarged superior margin of calcaneal posterior process
                                          • Haglund triad (Haglund syndrome): Haglund deformity + insertional Achilles tendinopathy + pre-Achilles bursitis

                                        IMAGING

                                        • General Features

                                          • Imaging Recommendations

                                            • Radiographic Findings

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Relevant Anatomy

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Bulstra GH et al: Can we measure the heel bump? Radiographic evaluation of haglund's deformity. J Foot Ankle Surg. 54(3):338-40, 2015
                                                              2. Kang S et al: Insertional Achilles tendinitis and Haglund's deformity. Foot Ankle Int. 33(6):487-91, 2012
                                                              3. Den Hartog BD: Insertional achilles tendinosis: pathogenesis and treatment. Foot Ankle Clin. 14(4):639-50, 2009
                                                              4. Erdem CZ et al: MR imaging features of foot involvement in patients with psoriasis. Eur J Radiol. 67(3):521-5, 2008
                                                              5. Ortmann FW et al: Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis. Foot Ankle Int. 28(2):149-53, 2007
                                                              6. Yodlowski ML et al: Surgical treatment of Achilles tendinitis by decompression of the retrocalcaneal bursa and the superior calcaneal tuberosity. Am J Sports Med. 30(3):318-21, 2002
                                                              7. Narváez JA et al: Painful heel: MR imaging findings. Radiographics. 20(2):333-52, 2000
                                                              8. Bottger BA et al: MR imaging of the normal and abnormal retrocalcaneal bursae. AJR Am J Roentgenol. 170(5):1239-41, 1998