The Haglund Deformity is the reactive bony overgrowth of the posterior superior calcaneus ("bursal projection"), which contributes to chronic friction on the Achilles between the bone and the posterior shoe, exacerbating both insertional Achilles tendinosis and retrocalcaneal bursitis.The Haglund Syndrome is that bony overgrowth (aka Pump Bump) along with Achilles tendinosis and retrocalcaneal bursal inflammation.
On Sat, Feb 15, 2025 at 10:21 AM Joy wrote:
On a related note, what are the specific features one looks for in a Haglund’s lesion on MRI?Joy
On 15 Feb 2025, at 15:10, hilary wrote:
Philip Wong shared this
https://www.eurorad.org/case/12494I think the similarity is compelling and reported it as likely xanthomatosis.
I included gout as a less likely ddx and suggested that lipid profile and serum uric acid would be helpful.
My attempt to reach the referrer was time consuming and useless, as expected.
Looks very much like this case including peritendinous intermediate signal soft tissue thickening
On Fri, Feb 14, 2025 at 12:23 PM hilarywrote:
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The history is Achilles tendonitis with mass
The patient is a 35 yo black maleIf it weren’t for the posterior peritendinous intermediate signal component, I would report xanthoma….is that peritendinous component typical of xanthoma?
I have not seen many cases.Thanks.
Hilary
