Clinics in diagnostic imaging (170).
A 30-year-old woman presented with a six-month history of left posterior heel pain. Physical examination revealed a tender, inflamed and indurated posterior heel with a visible bony prominence of the posterosuperior aspect of the calcaneus. Lateral ankle radiography showed a prominent left posterosuperior calcaneal tuberosity and thickening of the distal Achilles tendon outline. Magnetic resonance imaging demonstrated high-signal inflammatory fluid in the retrocalcaneal bursa, increased signal intensity and thickening of the Achilles tendon, and prominence of the posterior calcaneus tuberosity with reactive marrow oedema. The findings are consistent with Haglund's deformity. The patient underwent hind foot surgery after failing a six-month course of conservative therapy. There was no further recurrence of symptoms after surgery. The clinical and radiological features of Haglund's deformity are described, including a short discussion of other causes of hind foot pain.
['Shah|Mohammad Taufik Bin Mohamed|MT|', 'Wong|Bak Siew Steven|BS|']
D000125:Achilles Tendon D000328:Adult D001842:Bone and Bones D002111:Calcaneus D005260:Female D005528:Foot D005530:Foot Deformities D006801:Humans D007249:Inflammation D008279:Magnetic Resonance Imaging D010146:Pain D016896:Treatment Outcome
Achilles tendon magnetic resonance imaging hind foot pain Haglund’s deformity