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Quality in Sport

Heel Pain in a Young Athlete – Haglund’s Disease
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Heel Pain in a Young Athlete – Haglund’s Disease

Authors

  • Olga Komar Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0000-0025-1983
  • Marek Kochański https://orcid.org/0009-0008-0304-8938
  • Natalia Pokrywka https://orcid.org/0009-0004-1593-8760
  • Kinga Szymańska https://orcid.org/0009-0007-5263-5947
  • Dawid Suwała https://orcid.org/0009-0004-7606-7065
  • Iga Barczak https://orcid.org/0009-0009-5882-2019
  • Mateusz Gąbka https://orcid.org/0009-0006-5805-4281
  • Agata Trześniowska https://orcid.org/0009-0001-6033-0883

DOI:

https://doi.org/10.12775/QS.2026.54.70288

Keywords

Haglund’s disease, heel pain, Achilles tendon, retrocalcaneal bursitis, athletes, conservative treat-ment, surgical treatment

Abstract

Haglund’s disease is a significant cause of posterior heel pain, particularly among physically active individuals. It is associated with a posterosuperior calcaneal prominence leading to irritation of the retrocalcaneal bursa and Achilles tendon. The condition has a multifactorial etiology, including anatomical, biomechanical, and environmental factors. Diagnosis is based on clinical examination and imaging modalities such as X-ray, MRI, and ultrasound. Treatment includes both conservative and surgical approaches depending on symptom severity.

References

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2. Vaishya R, Agarwal AK, Azizi AT, Vijay V. Haglund’s syndrome: a commonly seen mys-terious condition. Cureus. 2016; PMID: 36060327. DOI: 10.7759/cureus.820

3. Lee W, Giro ME, Crymes C. Association of Haglund deformity size and insertional Achil-les tendinopathy. Foot Ankle Int. 2023; PMID: 37218117. DOI: 10.1177/10711007231168625

4. Tang SC, Tu KC, Liao WJ, et al. Correlations between insertional Achilles tendinopathy and Haglund’s deformity. J Orthop Surg Res. 2025; PMID: 30666401. DOI: 10.1007/s00402-019-03122-w

5. Xu Y, Haider ZA, Karuppiah V, Dhar S. Zadek osteotomy for refractory Haglund’s de-formity. Cureus. 2023; PMID: 41189170. DOI: 10.1097/MD.0000000000045127

6. Yuen WLP, Tan PT, Kon KKC. Surgical treatment of Haglund’s deformity: a systematic review and meta analysis. Cureus. 2022; PMID: 36060327. DOI: 10.7759/cureus.27500

7. Alessio Mazzola M, Russo A, Capello AG, et al. Endoscopic calcaneoplasty provides better outcomes compared with open procedures. Knee Surg Sports Traumatol Arthrosc. 2021; PMID: 33216187. DOI: 10.1007/s00167-020-06362-1

8. Ortmann FW, McBryde AM. Endoscopic bony and soft tissue decompression for Haglund deformity and retrocalcaneal bursitis. Foot Ankle Int. 2007; PMID: 17296130. DOI: 10.3113/FAI.2007.0149

9. Pi Y, Hu Y, Guo Q, et al. Open vs endoscopic osteotomy of posterosuperior calcaneal tu-berosity for Haglund syndrome. Orthop J Sports Med. 2021; PMID: 33954222. DOI: 10.1177/23259671211001055

10. Stephens MM. Haglund’s deformity and retrocalcaneal bursitis. Orthop Clin North Am. 1994; PMID: 8290230. DOI: 10.1177/23259671211001055

11. Debus F, Eberhard H J, Olivieri M, Peterlein CD. MRI in patients with Haglund’s deformity and its influence on therapy. Arch Orthop Trauma Surg. 2019; PMID: 30666401. DOI: 10.1007/s00402-019-03122-w

12. Cardone G, Bilbao F, Verbner JM, et al. Endoscopic calcaneoplasty in Haglund disease: outcomes. Foot Ankle Int. 2024; PMID: 39095985. DOI: 10.1177/10711007241264223

13. Sung K, Bahadur AS, Sussman WI. A novel approach to Haglund deformity resection using a percutaneous ultrasound guided osteotomy device. Curr Sports Med Rep. 2023; PMID: 37141611. DOI: 10.1249/JSR.0000000000001063

14. Madi S, Hillrichs B. Haglund’s deformity as a cause of acute Achilles tendon rupture: a case report. J Foot Ankle Surg. 2022; PMID: 34961680. DOI: 10.1053/j.jfas.2021.03.009

15. Wu KA, et al. Haglund’s deformity with preoperative Achilles tendon rupture: a retrospective comparative study. Complications. 2025. https://doi.org/10.3390/complications2030019

16. Uzun MA, Nwoko W, et al. Chronic rupture of Achilles tendon caused by Haglund’s deformity. Medicina. 2022. https://doi.org/10.3390/complications2030019

17. Fragkiadoulaki V, Karantanas A. Haglund’s deformity with chronic Achilles tendinopathy: imaging case report. Eurorad. doi: 10.21037/qims-22-736

18. Pargeon M, Tjiattas Saleski L. Haglund deformity and retrocalcaneal pathology: diagnos-tic and imaging insights. J Osteopath Med. 2023; PMID: 37057603. DOI: 10.1515/jom-2023-0022

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20. Pi Y, Hu Y, et al. Dynamic evaluation of ankle biomechanics in posterior heel pain. Gait & Posture. 2023; PMID: 38018536. https://doi.org/10.1177/19386400231214121

Quality in Sport

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Published

2026-04-12

How to Cite

1.
KOMAR, Olga, KOCHAŃSKI, Marek, POKRYWKA, Natalia, SZYMAŃSKA, Kinga, SUWAŁA, Dawid, BARCZAK, Iga, GĄBKA , Mateusz and TRZEŚNIOWSKA, Agata. Heel Pain in a Young Athlete – Haglund’s Disease . Quality in Sport. Online. 12 April 2026. Vol. 54, p. 70288. [Accessed 13 April 2026]. DOI 10.12775/QS.2026.54.70288.
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Issue

Vol. 54 (2026)

Section

Medical Sciences

License

Copyright (c) 2026 Olga Komar, Marek Kochański, Natalia Pokrywka, Kinga Szymańska, Dawid Suwała, Iga Barczak, Mateusz Gąbka , Agata Trześniowska

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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