Endoscopic Treatment of Haglund's Syndrome with a Three Portal Technique

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2012 Mar 15

PMID 22415722

Citations 10

Authors

Ziying Wu

Yinghui Hua

Yunxia Li

Shiyi Chen

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of our study is to make a retrospective evaluation of endoscopic treatment of Haglund's syndrome using a new three portal technique.

Methods: All 23 patients (25 heels) with a mean age of 27.7 years were evaluated pre-operatively and postoperatively with parallel pitch lines, the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Ogilvie Harris score.

Results: The mean follow-up was 41 months (range, 30-59 months). There were no obvious complications in our study. In 22 heels, postoperative lateral radiographs showed the achievement of negative parallel pitch lines. The average AOFAS score improved from 63.3 ± 11.9 points pre-operatively to 86.8 ± 10.1 points at final follow-up. There were 14 excellent results, seven good results, two fair results and two poor results. For the Ogilvie Harris score, there were 15 excellent, seven good, one fair, and two poor results.

Conclusion: An endoscopic procedure using the three portal technique seemed to be a safe and efficacious option for surgical treatment of Haglund's syndrome.

Citing Articles

Minimally invasive surgeries for insertional Achilles tendinopathy: A commentary review.

Nakajima K World J Orthop. 2023; 14(6):369-378.

PMID: 37377992 PMC: 10292061. DOI: 10.5312/wjo.v14.i6.369.

Double row reconstruction of achilles tendon (speedbridge technique) for haglund syndrome results in early weight bearing.

Kar S, Sauarbh S, Digge V J Orthop. 2023; 39:70-74.

PMID: 37125015 PMC: 10130069. DOI: 10.1016/j.jor.2023.04.004.

Surgical Treatment of Haglund's Deformity: A Systematic Review and Meta-Analysis.

Yuen W, Tan P, Kon K Cureus. 2022; 14(7):e27500.

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Fluoroscopic and Endoscopic Calcaneal Exostosis Resection and Achilles Tendon Debridement for Insertional Achilles Tendinopathy Results in Good Outcomes, Early Return to Sports Activities, and Few Wound Complications.

Nakajima K Arthrosc Sports Med Rehabil. 2022; 4(4):e1385-e1395.

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Satisfactory Functional Outcome and Significant Correlation with the Length of Haglund's Deformity after Endoscopic Calcaneoplasty: A Minimum 4-Year Follow-Up Study.

Mahmoud H, Feisal W, Fahmy F Adv Orthop. 2022; 2022:7889684.

PMID: 35465128 PMC: 9020964. DOI: 10.1155/2022/7889684.

References

Sammarco G, Taylor A . Operative management of Haglund's deformity in the nonathlete: a retrospective study. Foot Ankle Int. 1998; 19(11):724-9. DOI: 10.1177/107110079801901102. View

Hua Y, Chen S, Li Y, Chen J, Li H . Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms. Arthroscopy. 2010; 26(4):524-8. DOI: 10.1016/j.arthro.2010.02.002. View

DeVries J, Summerhays B, Guehlstorf D . Surgical correction of Haglund's triad using complete detachment and reattachment of the Achilles tendon. J Foot Ankle Surg. 2009; 48(4):447-51. DOI: 10.1053/j.jfas.2009.03.004. View

Nesse E, Finsen V . Poor results after resection for Haglund's heel. Analysis of 35 heels in 23 patients after 3 years. Acta Orthop Scand. 1994; 65(1):107-9. DOI: 10.3109/17453679408993732. View

Fiamengo S, Warren R, Marshall J, Vigorita V, HERSH A . Posterior heel pain associated with a calcaneal step and Achilles tendon calcification. Clin Orthop Relat Res. 1982; (167):203-11. View

Ortmann F, McBryde A . Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis. Foot Ankle Int. 2007; 28(2):149-53. DOI: 10.3113/FAI.2007.0149. View

Pavlov H, Heneghan M, HERSH A, Goldman A, Vigorita V . The Haglund syndrome: initial and differential diagnosis. Radiology. 1982; 144(1):83-8. DOI: 10.1148/radiology.144.1.7089270. View

Scholten P, van Dijk C . Endoscopic calcaneoplasty. Foot Ankle Clin. 2006; 11(2):439-46, viii. DOI: 10.1016/j.fcl.2006.02.004. View

Sella E, Caminear D, McLarney E . Haglund's syndrome. J Foot Ankle Surg. 1998; 37(2):110-4; discussion 173. DOI: 10.1016/s1067-2516(98)80089-6. View

10.

Chauveaux D, Liet P, Le Huec J, Midy D . A new radiologic measurement for the diagnosis of Haglund's deformity. Surg Radiol Anat. 1991; 13(1):39-44. DOI: 10.1007/BF01623140. View

11.

Le T, Joseph P . Common exostectomies of the rearfoot. Clin Podiatr Med Surg. 1991; 8(3):601-23. View

12.

Wiegerinck J, Kok A, van Dijk C . Surgical treatment of chronic retrocalcaneal bursitis. Arthroscopy. 2012; 28(2):283-93. DOI: 10.1016/j.arthro.2011.09.019. View

13.

van Dijk C, van Dyk G, Scholten P, Kort N . Endoscopic calcaneoplasty. Am J Sports Med. 2001; 29(2):185-9. DOI: 10.1177/03635465010290021101. View

14.

Angermann P . Chronic retrocalcaneal bursitis treated by resection of the calcaneus. Foot Ankle. 1990; 10(5):285-7. DOI: 10.1177/107110079001000508. View

15.

Jerosch J, Schunck J, Sokkar S . Endoscopic calcaneoplasty (ECP) as a surgical treatment of Haglund's syndrome. Knee Surg Sports Traumatol Arthrosc. 2007; 15(7):927-34. DOI: 10.1007/s00167-006-0279-3. View

16.

Singh R, Rohilla R, Siwach R, Magu N, Sangwan S, Sharma A . Diagnostic significance of radiologic measurements in posterior heel pain. Foot (Edinb). 2010; 18(2):91-8. DOI: 10.1016/j.foot.2008.01.005. View

17.

Jarde O, Quenot P, Vives P . [Haglund disease treated by simple resection of calcaneus tuberosity. An angular and therapeutic study. Apropos of 74 cases with 2 years follow-up]. Rev Chir Orthop Reparatrice Appar Mot. 1997; 83(6):566-73. View

18.

Pauker M, Katz K, YOSIPOVITCH Z . Calcaneal ostectomy for Haglund disease. J Foot Surg. 1992; 31(6):588-9. View

19.

Hamilton W . Surgical anatomy of the foot and ankle. Clin Symp. 1985; 37(3):2-32. View