Gemeinschaftspraxis DREO, Habermehlstraße 8, 75172, Pforzheim, Germany.
Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Marburg, Baldinger Straße, 35043, Marburg, Germany.
Arch Orthop Trauma Surg. 2019 Jul;139(7):903-906. doi: 10.1007/s00402-019-03122-w. Epub 2019 Jan 21.
Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund's deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund's syndrome with calcaneal bursitis and Achilles tendinosis. This study aims to investigate the roll of MRI in diagnosis of Haglund's syndrome and its influence on therapy.
We retrospectively analysed data of 45 patients which clinically and radiologically confirmed Haglund's deformity. Patients were divided into two groups that either did not receive MRI (MRI_0) or received MRI (MRI_1). To evaluate the significance, Fisher´s test was used. A statistical significance was assumed at p < 0.05.
The average age was 57.0 years. There was no significant difference in therapy comparing the groups MRI_0 and MRI_1. Haglund's syndrome was detected in 86.7% of all patients with Haglund's deformity.
MRI does not influence the therapy of patients with Haglund's deformity. Therefore, the resources of this cost-intensive and limited type of investigation should be used elsewhere. In cases of atypical heel pain, the MRI might be useful.
足跟痛是患者在门诊看骨科医生的常见原因之一。足跟痛通常是由跟骨后上的骨赘（Haglund 畸形）引起的，常导致跟骨滑囊炎和跟腱炎（Haglund 综合征）。本研究旨在探讨 MRI 在诊断 Haglund 综合征及其对治疗的影响中的作用。
我们回顾性分析了 45 例临床和影像学均确诊为 Haglund 畸形的患者的数据。患者分为未行 MRI 检查（MRI_0）和行 MRI 检查（MRI_1）两组。为评估其意义，采用 Fisher 检验。p<0.05 为统计学显著差异。
平均年龄为 57.0 岁。两组（MRI_0 和 MRI_1）在治疗方面无显著差异。所有 Haglund 畸形患者中，Haglund 综合征的检出率为 86.7%。
MRI 并不影响 Haglund 畸形患者的治疗。因此，应将这种资源密集且有限的检查类型用于其他方面。在非典型足跟痛的情况下，MRI 可能有用。
