A 42 year old male complains of pain and difficulty in walking on his left foot. He also complains of stiffness in heel and difficulty in wearing closed shoes.

X-ray shows bony spur on posterosuperior aspect of calcaneum. ( Image attached )

 

Diagnosis – Haglund’s Deformity

 

Discussion :

 

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Haglund deformity, also known as a pump bump or Bauer bump or Mulholland deformity, is defined as bony enlargement formed at posterosuperior aspect of calcaneum. This deformity leads to retrocalcaneal bursitis.

Please note the following as well –

Haglund syndrome refers to the triad (Haglund’s triad) of

– insertional Achilles tendinopathy
– retrocalcaneal bursitis
– Haglund deformity (i.e. posterosuperior calcaneal exostosis) which is already explained above.