Insertional Achilles tendinosis with Haglund deformity is a common cause of posterior heel pain and the diagnosis can be established by history, physical examination, and imaging. Operative treatment may be required if the conservative treatment has failed. A common surgical procedure usually includes open debridement of Achilles tendon and retrocalcaneal bursa, exostectomy of posterior superior aspect of the calcaneus, and reattachment of the Achilles tendon using a double-row suture anchors. The results of these procedures demonstrated significant improvement of functional outcomes and pain relief with minimal complications.
Level of Evidence: Diagnostic Level V. Expert Opinions.
*Clinical Associate Professor and Medical Director of Quality and Safety, Department of Orthopaedics and Rehabilitation, University of Iowa Hospital and Clinic, Iowa City, IA
the †Foot and Ankle Surgeon, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand
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Address correspondence and reprint requests to Phinit Phisitkul, MD, Department of Orthopaedics and Rehabilitation, University of Iowa Hospital and Clinic, 200 Hawkins Drive, Iowa City, IA 52242. E-mail: firstname.lastname@example.org.
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