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Haglund's Deformity

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Haglund's Deformity, Haglund Deformity, Haglund's Heel

  • Epidemiology
  1. Age 20-30 year old women (typically with poor fitting footwear)
  • Pathophysiology
  1. Haglund Deformity is a prominent superior posterior Calcaneus
    1. Forms in response to repeated pressure from poor fitting shoes
  2. Results in swelling and inflammation at achilles tendon insertion
    1. Retrocalcaneal Bursitis arises
  • Signs
  1. Erythema, swelling and tenderness over bursa
  • Management
  1. Decrease pressure at the achilles insertion
  2. Open-healed shoes
  3. NSAIDs
  4. Ultrasound guided Corticosteroid Injection (to avoid achilles tendon)
  5. Surgery may be needed in refractory cases
  • Complications
  1. Retrocalcaneal Bursitis
  • References
  1. Tu (2018) Am Fam Physician 97(2):86-93 [PubMed]