II. Epidemiology
- Age 20-30 year old women (typically with poor fitting footwear)
III. Pathophysiology
- Haglund Deformity is a prominent superior posterior Calcaneus
- Forms in response to repeated pressure from poor fitting shoes
- Results in swelling and inflammation at achilles tendon insertion
- Retrocalcaneal Bursitis arises
IV. Signs
- Erythema, swelling and tenderness over bursa
V. Management
- Decrease pressure at the achilles insertion
- Open-healed shoes
- NSAIDs
- Ultrasound guided Corticosteroid Injection (to avoid achilles tendon)
- Surgery may be needed in refractory cases