Haglunds deformity presentation

TRIAD OF1. RETROCALCANEAL BURSITIS2. TENDOACHILLES BURSITIS3. PARTIAL TEAR OF THE

ACHILLES TENDON

FREELANCE RADIOLOGYCONTINUATION OF BASIC DIAGNOSTIC RADIOLOGY

HAGLUNDS DEFORMITY ( PUMP AND HUMP

DEFORMITY)

HAGLUND’S DEFORMITY

( PUMP/ HUMP DEFORMITY)

Two bursae are appreciated in relation to distal attachment of the Achilles tendon .

Retrocalcaneal bursae.

Tendoachilles bursae

RETRO CALCANEAL BURSAE

RETROACHILLES BURSAE

Tear drop shaped bursae Present along Posterior

aspect of the upper calcaneum .

Little fluid is appreciated in the bursae if it is not inflammed.

Distension of bursae with fluid and inflammatory thickening of the synovium is sequael to bursitis .

Patient presents with heel pain

Chronic overuse / illfitting foot wear / inflammatory arthropathy .

Acquired adventitious bursae

Located posterior to distal Achilles tendon .

HAGLUND’S DEFORMITY ( PUMP/ HUMP DEFORMITY)

SAGITTAL T2W SEQUENCE

TEAR DROP SHAPED PRE ACHILLES BURSAE IS FLUID FILLED AND HAS SYNOVIAL THICKENING APPRECIATED IN CASE OF INFLAMMATION

RETROCALCANEAL BURSITIS

SAGITTAL STIR SEQUENCE

TENDOACHILLES BURSITIS

FAINT STREAK OF EDEMA IS APPRECIATED IN THE REGION DORSAL TO ACHILLES TENDON.

SAGITTAL STIR SEQUENCE

THICKENED ACHILLES TENDON AND INTERSPREAD BRIGHT SIGNAL STREAKS S/O PARTIAL TEAR IN THE DISTAL ACHILLES TENDON.

SAGITTAL T1W SEQUENCE

BONY SPURS ALONG

•INSERTION SITE OF THE ACHILLES

•PLANTAR ASPECT OF THE CALCANEUM

CORONAL T2W SEQUENCE

PREACHILLES BURSAE

( FLUID IN THE CORE OF THE BURSAE )

( SYNOVIAL THICKENING)

CORONAL STIR SEQUENCE

ILLDEFINED INNER CONTOUR OF THE INFLAMMED PREACHILLES BURSAE.

FLUID SIGNAL OF THE CORE IS BETTER APPRECIATED ON STIR SEQUENCE.

AXIAL STIR SEQUENCE

BETTER DEPICTION OF PREACHILLES POSITION OF THE BURSAE

COMPONENTS OF HAGLUNDS

DEFORMITY

RETROCALCANEAL BURSITIS

MARROW EDEMA IN THE CALCANEUM

THICK ACHILLES TENDON WITH PARTIAL TEAR

TENDOACHILLES BURSITIS