Assessment of Calcaneal Morphology and Radiological Parameters in Haglund's Syndrome

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Buyukdogan K., Aslan L., KAYMAZ B., Yilmaz O., Ayik G., Mermerkaya M. U.

BEZMIALEM SCIENCE, vol.10, no.4, pp.420-425, 2022 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 4
  • Publication Date: 2022
  • Doi Number: 10.14235/bas.galenos.2021.6213
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.420-425
  • Keywords: Calcaneal pitch angle, Fowler Philip Angle, Haglund?s syndrome, lateral talus-first metatarsal angle, RADIOGRAPHIC EVALUATION, ACHILLES
  • Çanakkale Onsekiz Mart University Affiliated: Yes


Objective: To compare the radiological parameters of the normal population with the patients with Haglund's syndrome (HS) and to seek a correlation between pain scores and radiological parameters in patients with HS.Methods: Thirty-one patients surgically treated for HS (Haglund group) and 36 healthy subjects free of hindfoot pathology seen in consultation for any other foot pathologies (control group) were included in the study. Demographic data of the patients were acquired, and radiological measurements such as; Fowler Philip Angle (FPA), lateral talus-first metatarsal angle (LTFMA), and Calcaneal pitch angle (CPA) were recorded. The visual analog scale (VAS) and the American Orthopaedic Foot & Ankle Society (AOFAS) scores of the patients in the Haglund group were assessed.Results: Mean CPA, FPA, and LTFMA in the Haglund group were 23.88 +/- 4.6, 58.16 +/- 5.7, and 4.92 +/- 1.88, respectively, and the same recordings in the control group were 21.16 +/- 4.81, 59.1 +/- 4.3, and 4.25 +/- 2.57, respectively. CPA differences between Haglund and control groups were statistically significant (p=0.021). The average values of the VAS and AOFAS scores of the patients in the Haglund group were 8.45 +/- 1.06 and 47.4 +/- 7.58, respectively. There was no correlation between the scores and the radiological measurements of patients in the Haglund group.Conclusion: Radiological assessments are widely debated. Many studies support our results that measurements defined for the morphology of calcaneus are not associated with the Haglund's disease severity. Increase in the CPA is found to be related to HS. This may be explained by the extension of the calcaneus to irritate the Achilles tendon and cause heel pain.