II. Epidemiology

  1. Age 20-30 year old women (typically with poor fitting footwear)

III. Pathophysiology

  1. Haglund Deformity is a prominent superior posterior Calcaneus
    1. Forms in response to repeated pressure from poor fitting shoes
  2. Results in swelling and inflammation at achilles tendon insertion
    1. Retrocalcaneal Bursitis arises

IV. Signs

  1. Erythema, swelling and tenderness over bursa

V. Management

  1. Decrease pressure at the achilles insertion
  2. Open-healed shoes
  3. NSAIDs
  4. Ultrasound guided Corticosteroid Injection (to avoid achilles tendon)
  5. Surgery may be needed in refractory cases

VI. Complications

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