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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
see hock hygroma.