Haglund syndrome

Haglund syndrome refers to the triad (Haglund triad) of:

This results in pain at the back of the heel. It is associated with calcaneal spurs, and the wearing of high heels (hence the colloquial term "pump-bump") or stiff-backed shoes in general.

  • loss of the Kager triangle due to retrocalcaneal bursitis
  • Achilles tendon measuring >9 mm in thickness two centimeters above the bursal projection due to Achilles tendinopathy
  • convexity of the soft tissues posterior to the Achilles tendon insertion due to superficial retro-Achilles bursitis
  • prominent bursal projection of the calcaneum ("pump-bump") or Haglund deformity
  • Chauveaux-Liet angle >12º
  • used in questionable cases
  • focal enlargement and abnormal signal at Achilles tendon insertion segment
  • retrocalcaneal and/or retro-Achilles bursal fluid collection(s)
  • calcaneal bony spur best appreciated on T1 sagittal images
  • marrow edema of the posterior calcaneal tuberosity

It was first described by Swedish orthopedic surgeon Patrick Haglund (1870-1937) 7 in 1927 6.

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Article information

rID: 1422
Section: Syndromes
Synonyms or Alternate Spellings:
  • Haglund's syndrome
  • Haglund disease
  • Pump-bump

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Cases and figures

  • Figure 1: photograph - red high heel pump
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  • Case 1
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  • Case 2
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  • Case 3
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  • Case 9
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