2023 Annual Meeting Foot & Ankle Access Pass-Haglund’s Management: Open and Arthroscopic Techniques

Haglund’s Management: Open and Arthroscopic Techniques

Video Transcription

Video Summary

The talk reviewed Haglund's deformity, highlighting enlargement at the Achilles tendon insertion causing pain and inflammation. Diagnosis uses X-rays and MRI. Initial treatments include anti-inflammatories, physical therapy, heel lifts, and shockwave therapy. Surgery is considered after six months of failed conservative care or sooner in athletes. Open surgical approaches vary by incision type, while endoscopic methods use portals and fluoroscopic guidance. Post-op recovery is faster with endoscopy. A newer option is the calcaneal osteotomy to relieve tendon pressure. Studies show good outcomes across methods, with endoscopy offering faster return and fewer complications. Decisions should be individualized based on patient needs and surgeon expertise.

Asset Caption

Arianna Gianakos, D.O

Keywords

Haglund's deformity

Achilles tendon insertion

diagnosis MRI X-rays

conservative treatment

endoscopic surgery