Abstract

Haglund's disease is a relatively under-appreciated pathology, linked to calcaneo-achilles impingement. The etiology is not well known, and may be confused with other causes of talalgia. We report the case of a 55-year-old patient presenting with painful ankle oedema. The diagnosis was evoked on a standard weight-bearing X-ray of the left ankle and on ultrasound, and confirmed by an MRI of the ankle, showing a fissure with signal abnormality of the achilles tendon in relation to the oedema associated with preachilean bursitis. Treatment, initially medical, resulted in surgical resection of the posterosuperior angle of the calcaneus with good clinical outcome.

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