Answer for CoW 11 June 2017
Haglund Deformity and Syndrome
Findings
Bony excrescence noted along posterosuperiro calcaneum (Haglund deformity). STIR hyperintensities in the postero-superior calcaneum – reflecting marrow edema. STIR hyperintensities within the Achilles tendon just proximal to its calcaneal insertion site – reflecting Achilles tendinosis / mild partial tear. Retrocalcaneal bursitis is also seen.
Discussion
Haglund Deformity and Syndrome are an Uncommon cause of posterior heel pain . It consists of a constellation of soft-tissue and osseous abnormalities. The Haglund deformity is defined by the presence of a prominent bursal bony projection of the calcaneus, which is generally associated with wearing low-back shoes. The bony deformity, along with the shoes in question, may lead to a mechanically induced inflammation of the superficial bursa, Achilles tendinosis, and retrocalcaneal bursitis. These inflammatory changes in the presence of the bony deformity are together known as Haglund syndrome . Hindfoot varus and pes cavus are predisposing factors. Ref: MRI of Heel Pain David A. Lawrence1, Michael F. Rolen AJR April 2013, Volume 200, Number 4
Findings
Bony excrescence noted along posterosuperiro calcaneum (Haglund deformity). STIR hyperintensities in the postero-superior calcaneum – reflecting marrow edema. STIR hyperintensities within the Achilles tendon just proximal to its calcaneal insertion site – reflecting Achilles tendinosis / mild partial tear. Retrocalcaneal bursitis is also seen.
Discussion
Haglund Deformity and Syndrome are an Uncommon cause of posterior heel pain . It consists of a constellation of soft-tissue and osseous abnormalities. The Haglund deformity is defined by the presence of a prominent bursal bony projection of the calcaneus, which is generally associated with wearing low-back shoes. The bony deformity, along with the shoes in question, may lead to a mechanically induced inflammation of the superficial bursa, Achilles tendinosis, and retrocalcaneal bursitis. These inflammatory changes in the presence of the bony deformity are together known as Haglund syndrome . Hindfoot varus and pes cavus are predisposing factors. Ref: MRI of Heel Pain David A. Lawrence1, Michael F. Rolen AJR April 2013, Volume 200, Number 4
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!