Kucuksen Sami, Karahan Ali Yavuz, Erol Kemal
Department of Physical Medicine and Rehabilitation. Meram School of Medicine. Necmettin Erbakan University, Konya, Turkey.
Med Arch. 2012;66(6):425-7. doi: 10.5455/medarh.2012.66.425-427.
Haglund's syndrome, which is an inflammation of the bursa and a bony enlargement on the back of the heel that most often leads to painful bursitis, is a rare cause of retrocalcaneal pain. The clinical diagnosis is often confusing as the clinical picture may mimic other causes of hindfoot pain such as isolated retrocalcaneal bursitis or hindfoot involvement from more systemic disorders such as seronegative spondyloarthropathies (Reiter's syndrome, ankylosing spondylitis) or rheumatoid arthritis. This report is of a 60-year-old woman with a painful swelling of the right heel, who was diagnosed with Haglund syndrome. The characteristic clinical photograph (showing the prominent 'pump bump'), radiographical and magnetic resonance imaging features are presented.
哈格伦德综合征是一种滑囊炎，足跟后部有骨质增生，最常导致疼痛性滑囊炎，是跟腱后疼痛的罕见原因。临床诊断往往令人困惑，因为临床表现可能与其他后足疼痛原因相似，如孤立性跟腱后滑囊炎或更系统性疾病（如血清阴性脊柱关节病（赖特综合征、强直性脊柱炎）或类风湿关节炎）累及后足。本文报告了一名60岁女性，右足跟疼痛肿胀，被诊断为哈格伦德综合征。文中展示了特征性临床照片（显示明显的“泵隆突”）、影像学和磁共振成像特征。
