The objective of our study is to assess the result of endoscopic calcaneoplasty in patients diagnosed with Haglund's deformity. The first-line management for Haglund's deformity is conservative treatment. The various options available are open excision, calcaneal osteotomy, and endoscopic calcaneoplasty. Patients, after fulfilling the inclusion criteria and obtaining informed consent, were taken up for study. Clinical and radiological examinations were done prior to the study. Our study included 15 patients, 11 of whom were female and four were male. Patients were evaluated preoperatively and postoperatively with an American Orthopaedic Foot and Ankle Society (AOFAS) score. The average follow-up of our study was 26 months, and zero patients were lost to follow-up. According to the AOFAS score, 14 patients showed results in the excellent range, with one patient showing good results, and the average resumption to activity was 4 weeks. There were no complications in our study. We conclude that endoscopic calcaneoplasty is a safe and effective technique for addressing Haglund's deformity. It has a steep learning curve with no complications and a faster resumption of activity.
Haglund P. Beitrag zur Klinik der Achillessehne. Zeitschr Orthop Chir 1928;49:49–58.
Pavlov H, Heneghan MA, Hersh A, et al. The Haglund syndrome: initial and differential diagnosis. Radiology 1982;144(1):83–88. DOI: 10.1148/radiology.144.1.7089270
Owens BD, Wolf JM, Seelig AD, et al. Risk factors for lower extremity tendinopathies in military personnel. Orthop J Sports Med 2013;1(1):2325967113492707. DOI: 10.1177/2325967113492707
Vaishya R, Agarwal AK, Azizi AT, et al. Haglund's syndrome: a commonly seen mysterious condition. Cureus 2016;8(10):e820. DOI: 10.7759/cureus.820
Schepsis AA, Leach RE. Surgical management of Achilles tendinitis. Am J Sports Med 1987;15(4):308–315. DOI: 10.1177/036354658701500403
Kennedy JC, Willis RB. The effects of local steroid injections on tendons: a biomechanical and microscopic correlative study. Am J Sports Med 1976;4(1):11–21. DOI: 10.1177/036354657600400103
Berlin D, Coleman W, Nickamin A. Surgical approaches to Haglund's disease. J Foot Surg 1982;21(1):42–44. PMID: 7069141.
Zadek I. An operation for the cure of Achillobursitis. Am J Surg 1939;43(2):5426. DOI: 10.1016/S0002-9610(39)90877-9
Angermann P. Chronic retrocalcaneal bursitis treated by resection of the calcaneus. Foot Ankle 1990;10(5):285–287. DOI: 10.1177/107110079001000508
van Dijk CN, Scholten PE, Kort NP. Tendoscopy (tendon sheath endoscopy) for over-use tendon injuries. Oper Techn Sports Med 1997;5:170–178.
van Dijk CN, van Dyk GE, Scholten PE, et al. Endoscopic calcaneoplasty. Am J Sports Med 2001;29(2):185–189. DOI: 10.1177/03635465010290021101
Leitze Z, Sella EJ, Aversa JM. Endoscopic decompression of the retrocalcaneal space. J Bone Joint Surg Am 2003;85(8):1488–1496. DOI: 10.2106/00004623-200308000-00009
Anderson JA, Suero E, O'Loughlin PF, et al. Surgery for retrocalcaneal bursitis: a tendon-splitting versus a lateral approach. Clin Orthop Relat Res 2008;466(7):1678–1682. DOI: 10.1007/s11999-008-0281-9
Pauker M, Katz K, Yosipovitch Z. Calcaneal ostectomy for Haglund disease. J Foot Surg 1992;31(6):588–589. PMID: 1469219.
Ortmann FW, McBryde AM. 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):149–153. DOI: 10.3113/FAI.2007.0149
Wu Z, Hua Y, Li Y, et al. Endoscopic treatment of Haglund's syndrome with a three portal technique. Int Orthop 2012;36(8):1623–1627. DOI: 10.1007/s00264-012-1518-5
