Red Net Moment News on February 19A man had heel pain for more than a year, and was told by the doctor that he was "calcified". Recently, 50-year-old Mr. Li went to Zhuzhou Traditional Chinese Medicine Trauma Hospital for treatment due to pain in his right heel, and Tan Lei, a tibial and ankle surgeon, received the patient. Mr. Li described to the doctor that he had recurrent pain in his right heel for more than a year, and that some medication could be applied to relieve some of the pain. However, the pain has worsened in the past month, and the pain has not been relieved by topical medications. After being introduced by a friend, I came to the tibia and ankle department of the trauma hospital.
Tan Lei examined Mr. Li and found that the tuberosity of his right heel bone was swollen and the local tenderness was obvious, and the pain was aggravated when the ankle was extended and reduced. X-rays and CT scan showed calcification at the right Achilles tendon insertion and Haglund deformity of the right calcaneus.
After discussion by the expert team of the department, it was decided to perform surgery on Mr. Li**, and the surgical plan was calcified osteometry of right Achilles tendon insertion lesion, calcaneal osteotomy, Achilles tendon insertion anchor reconstruction, and plaster cast, so as to alleviate the clinical symptoms.
Preoperative x-rays. 
Postoperative x-rays. 
Preoperative CT. 
Osteophytes removed during surgery.
Haglund deformity is characterized by an abnormal bulge of the calcaneal tuberosity, which is based on bony hyperplasia and hypertrophy in the posterior and superior calcaneus with inflammation around the Achilles tendon insertion. A group of diseases characterized by pain, swelling, claudication, and limitation of dorsal foot extension, which was first described by the Swedish physician Patrick-Haglund in 1928.
Hugland's deformity is most common in women between the ages of 15 and 35, especially those who often wear high heels, and is also common among running enthusiasts.
Symptoms of Haglund deformity:
1.heel pain when walking;
2.visible bulge of the heel;
3.swollen or red heels;
4.Calluses or blisters on the heels, lumps touching shoes, etc.;
Appearance and x-ray appearance of Haglund deformity:
Appearance: A posterior and superior calcaneus bulge is visible.
X-ray findings: On lateral x-rays, a bony protrusion can be seen in the posterior and upper calcaneus, i.e., haglund.
It can be accompanied by complications such as retrocalcaneal bursitis and achilles tendonitis.
Causes of Haglund syndrome include:
The posterior superior calcaneus tubercle is congenitally dyspluritic.
The upper is too tight, compressing and rubbing the heel.
The calcaneus is excessively tilted, and the heel tension is too high.
Repetitive movement of the hindfoot results in repeated stretching of the posterior superior calcaneal tubercle and Achilles tendon.
The heel of the haglund deformity can be very painful, which is usually relieved by conservative use, including wearing loose shoes, topical medications, shock waves, etc.**. If these do not relieve the pain, you need to consult a professional ankle arthropist, who may recommend surgery to remove the hyperplastic osteophytes or repair the Achilles tendon, depending on the symptoms and imaging conditions.
For more information about Haglund deformity, consult a tibial and ankle specialist at an injury hospital for professional guidance and advice.