This report made people realize such special posterior heel disease, which we called Haglund syndrome.
Actually, Haglund syndrome is an enlargement of the posterosuperior prominence of the calcaneus, which is frequently associated with insertional Achilles tendinitis, bursal projection, and Achilles bursitis [3-5].
Haglund syndrome can be treated conservatively or surgically.
Before 2010, a traditional single-row suture method was used to treat Haglund syndrome, by which 50-70% of the Achilles insertion was detached without compromising the tendon.
Recently, we treated the Haglund syndrome with the double-row suture technique and obtained good clinical results.
Thirty-two patients with Haglund syndrome from February 2008 to February 2014 were retrospectively reviewed; all MRI showed the posterosuperior calcaneal prominence or Achilles tendinitis.
Haglund syndrome, firstly described by Swedish orthopedic surgeon Haglund in 1928 , is the general description of syndrome which included posterosuperior calcaneal bony prominence, insertional Achilles tendinitis, bursal projection, and Achilles bursitis [4, 5].
Patients with Haglund syndrome varies in age from young to elderly, and it is more commonly seen in women .
DISCUSSION: Haglund syndrome is one of the causes of chronic posterior heel pain.
Enthesopathies usually involve multiple sites and are associated with mild bone erosion in the bursal surface of calcaneum and osteopenia at the insertion site of tendons unlike Haglund syndrome.
The Haglund syndrome; initial and differential diagnosis.