Heneghan M A, Pavlov H
Clin Orthop Relat Res. 1984 Jul-Aug(187):228-34.
Haglund syndrome, a common cause of pain in the posterior heel, consists of a painful swelling of the local soft tissues (the so-called pump bump) and prominence of the calcaneal bursal projection. The condition is caused by compression of the distal Achilles tendon and surrounding soft tissue between the os calcis and the posterior shoe counter. Osseous plantar projections appear to be a critical etiologic factor in Haglund syndrome. With an experimental model, it has been demonstrated that osseous projections on the plantar surface of the calcaneus adversely influence the bone-soft tissue relation of the posterior heel. Shoe heel elevation has been shown to be clinically effective in alleviating symptoms. It is demonstrated with an experimental model that elevation of the shoe heel decreases the pitch angle. This diminishes the prominence of the bursal projection and allows the foot to slip forward, displacing the posterior calcaneus away from the shoe counter.
Haglund综合征是足跟后部疼痛的常见原因，表现为局部软组织疼痛性肿胀（即所谓的“泵 bump”）以及跟腱囊投影突出。该病症是由跟骨与后鞋帮之间的远端跟腱及周围软组织受压所致。跟骨足底骨性突起似乎是Haglund综合征的关键病因。通过实验模型已证实，跟骨足底表面的骨性突起会对足跟后部的骨-软组织关系产生不利影响。鞋跟抬高在临床上已被证明对缓解症状有效。通过实验模型表明，鞋跟抬高可减小俯仰角。这会减少滑囊投影的突出程度，并使足部向前滑动，将跟骨后部从鞋帮处移开。
