MRI in patients with Haglund’s deformity and its influence on therapy
- 62 Downloads
Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund’s deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund’s syndrome with calcaneal bursitis and Achilles tendinosis. This study aims to investigate the roll of MRI in diagnosis of Haglund’s syndrome and its influence on therapy.
Materials and methods
We retrospectively analysed data of 45 patients which clinically and radiologically confirmed Haglund’s deformity. Patients were divided into two groups that either did not receive MRI (MRI_0) or received MRI (MRI_1). To evaluate the significance, Fisher´s test was used. A statistical significance was assumed at p < 0.05.
The average age was 57.0 years. There was no significant difference in therapy comparing the groups MRI_0 and MRI_1. Haglund’s syndrome was detected in 86.7% of all patients with Haglund’s deformity.
MRI does not influence the therapy of patients with Haglund’s deformity. Therefore, the resources of this cost-intensive and limited type of investigation should be used elsewhere. In cases of atypical heel pain, the MRI might be useful.
KeywordsHaglund’s deformity Haglund’s syndrome Heel pain MRI
There is no funding source.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
- 2.Tu P, Heel pain: diagnosis and management. Am Fam Phys 97(2):86–93Google Scholar
- 3.Vaishya R et al (2016) Haglund’s syndrome: a commonly seen mysterious condition. Cureus 8(10):e820Google Scholar
- 4.Thomas JL et al (2016) The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg. 49(3 Suppl):S1–S19Google Scholar
- 8.Tu P, Bytomski JR. Diagnosis of heel pain. Am Fam Phys 84(8):909–916Google Scholar
- 9.Adigo AM et al., Haglund deformity: report of three cases. Pan Afr Med J. 22: p. 37Google Scholar
- 10.Jimenez Martin F et al. Haglund’s syndrome. Two case reports. Reumatol Clin. 13(1):37–38Google Scholar
- 13.van Beek EJR et al. Value of MRI in medicine: More than just another test? J Magn Reson ImagingGoogle Scholar