Pump Bump

(redirected from Calcaneus Altus)
Formally called Haglund deformity. An exostosis over the posterolateral aspect of the calcaneus caused by recurrent friction, ± bursitis
Cause Multifactorial—e.g., abnormal mechanics leading to excess motion of calcaneus, congenital deformity of calcaneus, irritation from women’s shoes known as ‘pumps’
Management Open-heeled/flat shoes, moleskin padding of calcaneus, cryomassage, orthotics to control excess motion; surgical excision
Exam Positive 2-finger squeeze test

Haglund's deformity

; retrocalcaneal exostosis; pump bump hypertrophy or prominence of posterior superior lateral border of calcaneum; characteristic of earlier Sever's disease, or chronic mechanical irritation from shoe counter against the heel during gait in a foot that overpronates at the subtalar joint (see compensated rearfoot varus; mobile pes cavus)