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2016 ; 8
(10
): e820
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Haglund s Syndrome: A Commonly Seen Mysterious Condition
#MMPMID27843738
Vaishya R
; Agarwal AK
; Azizi AT
; Vijay V
Cureus
2016[Oct]; 8
(10
): e820
PMID27843738
show ga
Haglund's deformity was first described by Patrick Haglund in 1927. It is also
known as retrocalcaneal exostosis, Mulholland deformity, and 'pump bump.' It is a
very common clinical condition, but still poorly understood. Haglund's deformity
is an abnormality of the bone and soft tissues in the foot. An enlargement of the
bony section of the heel (where the Achilles tendon is inserted) triggers this
condition. The soft tissue near the back of the heel can become irritated when
the large, bony lump rubs against rigid shoes. The aetiology is not well known,
but some probable causes like a tight Achilles tendon, a high arch of the foot,
and heredity have been suggested as causes. Middle age is the most common age of
affection, females are more affected than males, and the occurence is often
bilateral. A clinical feature of this condition is pain in the back of the heel,
which is more after rest. Clinical evaluation and lateral radiographs of the
ankle are mostly enough to make a diagnosis of Haglund's syndrome. Haglund's
syndrome is often treated conservatively by altering the heel height in shoe
wear, orthosis, physiotherapy, and anti-inflammatory drugs. Surgical excision of
the bony exostoses of the calcaneum is only required in resistant cases.
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