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 testAchilles tendinitis
Sports medicine A condition characterized by pain and swelling along the tendon sheath proximal to the calcaneus Clinical Stiffness with ankle movement, tenderness, crepitus Imaging Usually nada, rarely, soft tissue thickening Management Physical therapy or brief immobilization, antiinflammatory agents
