Department of Radiology, The First Hospital of Hunan University of Chinese Medicine, 95 Shaoshan Middle Road, Yuhua District, Changsha 410007, P.R. China.
The College of Integrated Traditional Chinese and Western Medicine, Hunan University of Chinese Medicine, 300 Xueshi Road, Yuelu District, Changsha 410208, P.R. China.
Curr Med Imaging. 2023;19(9):1079-1083. doi: 10.2174/1573405619666230309102638.
Haglund's syndrome is a common cause of heel pain but often neglected clinically. Haglund's syndrome refers to a series of symptoms caused by impingement among posterosuperior prominence of the calcaneus, bursa and Achilles tendon. It is difficult to distinguish Haglund's syndrome from other causes of heel pain by clinical diagnosis. Imageology is of great value in the diagnosis of Haglund's syndrome.
Our study aims to summarize the Magnet resonance (MR) imaging characteristics of Haglund's syndrome and provide some reference to clinical work.
We retrospectively analyzed the MR images of 11 patients (6 males; 5 females; 6 right ankles, 4 left ankles, 1 bimalleolar ankles) who have been clinically and radiologically confirmed Haglund's syndrome. Observation contents: morphological changes of calcaneus and talus, abnormal signal of calcaneus, abnormal Achilles tendon, and soft tissue abnormalities around Achilles tendon. Combined with literature reviews, summarize the MR imaging features of Haglund's syndrome.
In 12 ankles, all ankles showed posterosuperior prominence of the calcaneus and Achilles tendon degeneration; 7 ankles showed bone marrow edema; 6 Achilles tendons were graded as either type II or type III tendinosis; 5 Achilles tendons showed partial tear; 12 ankles showed retrocalcaneal bursitis, 7 ankles showed retro-Achilles bursitis, 6 ankles showed Kager's fat pad edema.
This study found that MR images of Haglund's syndrome showed bone edema of the calcaneus, degeneration and partial tear of the Achilles tendon, the retrocalcaneal and retro-Achilles bursas, and Kager's fat pad edema.
Haglund 综合征是一种常见的足跟痛病因，但临床上常被忽视。Haglund 综合征是指跟骨后上突、滑囊和跟腱之间撞击引起的一系列症状。临床诊断难以将 Haglund 综合征与其他足跟痛病因区分。影像学检查对 Haglund 综合征的诊断具有重要价值。
总结 Haglund 综合征的磁共振（MR）成像特征，为临床工作提供参考。
回顾性分析 11 例（6 例男性，5 例女性；6 例右侧踝关节，4 例左侧踝关节，1 例双踝关节）经临床和影像学检查确诊为 Haglund 综合征患者的 MR 图像。观察内容：跟骨和距骨的形态变化、跟骨异常信号、跟腱异常及跟腱周围软组织异常。结合文献复习，总结 Haglund 综合征的 MR 成像特征。
12 例踝关节中，所有踝关节均显示跟骨后上突及跟腱退变；7 例踝关节可见骨髓水肿；6 例跟腱分级为Ⅱ型或Ⅲ型腱病；5 例跟腱部分撕裂；12 例存在跟腱后滑囊炎，7 例存在跟腱后滑囊炎，6 例存在 Kager 脂肪垫水肿。
本研究发现 Haglund 综合征的 MR 图像表现为跟骨骨水肿、跟腱退变和部分撕裂、跟腱后滑囊炎和跟腱后滑囊炎、Kager 脂肪垫水肿。
