title: Surgical treatment for Haglund's deformity.
abstract: Haglund's deformity, or "pump bump" is a common cause of posterior heel pain, characterized clinically by a painful soft tissue swelling at the level of the Achilles tendon insertion. We reviewed 30 heels in 19 patients with failure of conservative treatment. Surgical management consisted of excision of the posterior calcaneal tuberosity and bursectomy through a medial longitudinal incision. The average follow-up period was 6 years (range, 3-10 years). Only 3 heels (10%) in 2 patients had persistent pain. Twenty-seven heels (90%) were cured after operation. However, 25 heels (83%) had residual pain for a half to two years after operation and became free of symptoms thereafter. We conclude surgical treatment of Haglund's deformity produces a predictably good result (90%) but requires a long time about a half to two years for full recovery.
authors.affiliation: Department of Orthopaedic Surgery, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: C H
authors.initials: CH
authors.lastname: Chen
authors.forename: P J
authors.initials: PJ
authors.lastname: Huang
authors.forename: T B
authors.initials: TB
authors.lastname: Chen
authors.forename: Y M
authors.initials: YM
authors.lastname: Cheng
authors.forename: S Y
authors.initials: SY
authors.lastname: Lin
authors.forename: H C
authors.initials: HC
authors.lastname: Chiang
authors.forename: C Y
authors.initials: CY
authors.lastname: Huang
authors.forename: C K
authors.initials: CK
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005530:Foot Deformities / Q000601:surgery*; D006365:Heel; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology