The majority of retrocalcaneal problems may be treated conservatively, using a biomechanical approach with appropriate shoe modification, padding, orthoses, and injection therapy. When appropriate indications are present, calcaneal osteotomies should be considered, despite less indication for these procedures than for simple resection of the retrocalcaneal exostoses.
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[Treatment of Achilles insertional calcific tendinosis using a longitudinal midline incision approach/central tendon splitting approach].
Oper Orthop Traumatol
December 2022
Klinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum der RWTH Aachen, Aachen, Deutschland.
Objective: Treatment of Achilles insertional calcific tendinosis through a longitudinal midline incision approach with optional resection of the retrocalcaneal bursa and calcaneal tuberosity (Haglund's deformity).
Indications: Calcific Achilles tendinosis, dorsal heel spur, insertional tendinosis.
Contraindications: General medical contraindications to surgical interventions.
Haglund's Deformity as a Cause of Acute Achilles Tendon Rupture: A Case Report.
J Foot Ankle Surg
March 2022
Chief, Department of Traumatology and Orthopedics, Muehlenkreiskliniken, Luebbecke, Germany. Electronic address:
Article Synopsis
- * This case report details a unique instance of a 39-year-old professional handball player experiencing a recurring Achilles tendon rupture alongside severe Haglund's deformity.
- * The player underwent a surgical procedure involving tendon debridement and reattachment using the Arthrex Speedbridge® system, highlighting a specific approach to treat this rare combination of injuries.
Functional Outcomes of Insertional Achilles Tendinopathy Treatment: A Systematic Review.
JBJS Rev
June 2021
Jacksonville Orthopaedic Institute, Jacksonville, Florida.
Background: Achilles tendinopathy is a common clinical problem that can be either insertional or noninsertional, and effective treatment of each type can vary. We sought to investigate the current evidence on different treatment methods for insertional Achilles tendinopathy with a focus on functional outcomes.
Methods: We performed a systematic review of the available literature using the PubMed/MEDLINE and Cochrane Central Register of Controlled Trials databases.
Haglund's Syndrome: endoscopic or open treatment?
Acta Biomed
May 2020
Orthopedics and Traumatology Operative Unit Forlì Presidia AUSL of Romagna.
Background And Aim Of The Work: With the term "Haglund›s syndrome" we define a condition characterized clinically by pain at the insertion of Achille›s tendon and, anatomopathologically, due to the presence of retrocalcaneal bursitis and at times associated with an insertional Achille›s tendinopathy. The aim of the work is to correlate the most reliable and reproducible treatment possible to the aforementioned variables of Haglund›s syndrome.
Methods: The classic syndromic picture is characterized by pain caused by retrocalcaneal bursitis.
[Arthroscopic Treatment of Chronic Retrocalcaneal Bursitis - Endoscopic Calcaneoplasty].
Acta Chir Orthop Traumatol Cech
January 2019
Klinika traumatologie Lékařské fakulty Masarykovy univerzity Brno.
INTRODUCTION The authors evaluate the results of endoscopic treatment and analyse the causes of persisting difficulties in retrocalcaneal bursitis unresponsive to conservative treatment. Stated as one of the causes is the possible chronic irritation of minor/partial tears of anterior parts of the distal portion of the Achilles tendon, which have no chance to heal due to continued overload and impingement syndrome of the superior prominence of the calcaneal tubercle. MATERIAL AND METHODS The authors evaluate the group of 24 patients (10 women and 14 men) diagnosed with retrocalcaneal bursitis, who reported more than 12 months of difficulties and in whom the conservative therapy options have already been exhausted.
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