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Haglund Syndrome
Corrie M. Yablon, MD; 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
            • Haglund syndrome = Achilles impingement tendinopathy
          • Definitions

            • Haglund deformity: enlarged superior margin of posterior process of calcaneus
            • Haglund syndrome: Haglund deformity + insertional Achilles tendinopathy + retrocalcaneal bursitis

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • MR Findings

                  • Ultrasonographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Relevant Anatomy

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Ricci AG et al: The central-splitting approach for Achilles insertional tendinopathy and Haglund deformity. JBJS Essent Surg Tech. 10(1):e0035, 2020
                                  2. Barg A et al: Surgical strategies for the treatment of insertional Achilles tendinopathy. Foot Ankle Clin. 24(3):533-59, 2019
                                  3. Bullock MJ et al: Achilles impingement tendinopathy on magnetic resonance imaging. J Foot Ankle Surg. 56(3):555-63, 2017
                                  4. 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
                                  5. Kang S et al: Insertional Achilles tendinitis and Haglund's deformity. Foot Ankle Int. 33(6):487-91, 2012
                                  6. Den Hartog BD: Insertional achilles tendinosis: pathogenesis and treatment. Foot Ankle Clin. 14(4):639-50, 2009
                                  7. Erdem CZ et al: MR imaging features of foot involvement in patients with psoriasis. Eur J Radiol. 67(3):521-5, 2008
                                  8. 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
                                  9. 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
                                  10. Narváez JA et al: Painful heel: MR imaging findings. Radiographics. 20(2):333-52, 2000
                                  11. 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
                                            • Haglund syndrome = Achilles impingement tendinopathy
                                          • Definitions

                                            • Haglund deformity: enlarged superior margin of posterior process of calcaneus
                                            • Haglund syndrome: Haglund deformity + insertional Achilles tendinopathy + retrocalcaneal bursitis

                                          IMAGING

                                          • General Features

                                            • Imaging Recommendations

                                              • Radiographic Findings

                                                • MR Findings

                                                  • Ultrasonographic Findings

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Relevant Anatomy

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Ricci AG et al: The central-splitting approach for Achilles insertional tendinopathy and Haglund deformity. JBJS Essent Surg Tech. 10(1):e0035, 2020
                                                                  2. Barg A et al: Surgical strategies for the treatment of insertional Achilles tendinopathy. Foot Ankle Clin. 24(3):533-59, 2019
                                                                  3. Bullock MJ et al: Achilles impingement tendinopathy on magnetic resonance imaging. J Foot Ankle Surg. 56(3):555-63, 2017
                                                                  4. 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
                                                                  5. Kang S et al: Insertional Achilles tendinitis and Haglund's deformity. Foot Ankle Int. 33(6):487-91, 2012
                                                                  6. Den Hartog BD: Insertional achilles tendinosis: pathogenesis and treatment. Foot Ankle Clin. 14(4):639-50, 2009
                                                                  7. Erdem CZ et al: MR imaging features of foot involvement in patients with psoriasis. Eur J Radiol. 67(3):521-5, 2008
                                                                  8. 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
                                                                  9. 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
                                                                  10. Narváez JA et al: Painful heel: MR imaging findings. Radiographics. 20(2):333-52, 2000
                                                                  11. Bottger BA et al: MR imaging of the normal and abnormal retrocalcaneal bursae. AJR Am J Roentgenol. 170(5):1239-41, 1998