Retrocalcaneal Exostosis - Conservative or Surgical?

Abstract

In 1927, Patrick Haglund made the first description of retrocalcaneal exostosis. It is also known as "pump bump", and Mulholland deformity. Even though it's a very common clinical disease, not much is understood about it. Haglund's deformity is a deformation of the soft tissues and bone of the foot. The Achilles tendon is implanted in the heel's bony region, and this condition is caused by an extension of that area. When the large, bony protrusion rubs against rigid shoes, it may irritate the soft tissue in the rear of the heel. Although the precise etiology of the ailment is unknown, a number of plausible possibilities, such as hereditary, a high foot arch, and a taut Achilles tendon, have been put up. Middle age is the most common age for affection, with females affected more often than males and bilateral occurrences occurring most often. One of the clinical features of the illness is ankle soreness that gets worse at rest. For the most part, Haglund's condition can be diagnosed via lateral ankle radiographs and clinical evaluation. Conservative approaches to treating Haglund's illness sometimes include orthoses, physical therapy, anti-inflammatory drugs, and shoe heel height adjustments. Surgical exostoses of the calcaneum are only required in cases of resistance.