Retrospective radiographic study comparing Haglund's deformity measurements in 48 heels with insertional Achilles tendinitis versus 50 asymptomatic controls. Tests whether deformity size or shape—including two newly introduced metrics (height and peak angle)—can predict symptomatic disease.
When evaluating posterior heel pain, don't let a prominent Haglund's deformity drive your surgical planning — its size and shape are identical in asymptomatic patients.
Focus instead on calcification at the tendon insertion, present in nearly three-quarters of symptomatic cases, and recognize that routine Haglund's resection may not be a necessary component of operative treatment.
Retrospective radiographic study comparing Haglund's deformity measurements in 48 heels with insertional Achilles tendinitis versus 50 asymptomatic controls. Tests whether deformity size or shape—including two newly introduced metrics (height and peak angle)—can predict symptomatic disease.
When evaluating posterior heel pain, don't let a prominent Haglund's deformity drive your surgical planning — its size and shape are identical in asymptomatic patients.
Focus instead on calcification at the tendon insertion, present in nearly three-quarters of symptomatic cases, and recognize that routine Haglund's resection may not be a necessary component of operative treatment.