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Haglund Deformity (Pump Bump), Sports Medicine

Shaun P. Garff, DO and Brent S.E. Rich, MD, ATC Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Haglund deformity is an abnormal prominence of the posterosuperior surface of the calcaneus. It can give rise to Haglund disease, which consists of retrocalcaneal bursitis, insertion...

DIAGNOSIS

HISTORY

  • Posterior heel pain with palpable bump

  • Increase in training program, specifically number of miles run or changing running surface

  • Change in shoe wear (shoes with rigid heel counters can...

TREATMENT

GENERAL MEASURES

  • Shoe modification 5[C]

  • Achilles stretching program

  • U-shaped pad

  • Heel pad/heel lift 2

  • Soft tissue modalities (i.e., ice, US, iontophoresis, Astym, Graston Technique)

  • Decrease in mi...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Return to clinic in 4 to 6 wk for reevaluation and discussion of management options after initial conservative interventions. 

COMPLICATIONS

  • Achilles tendon rupture

  • ...

REFERENCES

1
Syed TA, Perera A. A proposed staging classification for minimally invasive management of Haglund’s syndrome with percutaneous and endoscopic surgery. Foot Ankle Clin.  2016;21(3):641...

ADDITIONAL READING

Almaawi A, Boszczyk AM, Daniels TR. Exostosis (osteochondrosis, apophysites, and Haglund’s deformity). In: Valderrabano V, Easley M, eds. Foot and Ankle Sports Orthopaedics. Cham, ...

CLINICAL PEARLS

  • Posterior heel pain consistent with Haglund deformity needs bilateral foot/ankle x-rays.

  • Not all radiographic evidence of a Haglund deformity produce symptoms.

  • Initial treatment with con...

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