Insertional Achilles tendinopathy in patients with Haglund's syndrome: results of computer modeling and biomechanical research

B. Gerasimyuk, I. Lazarev, O. Movchan, M. Skyban



In this study, a biomechanical relationship was found between the pathological process in Haglund syndrome and secondary tendinopathy of the Achilles tendon. We have developed the calculation diagram, created computer models and determined the values of the stress-strain state of the rear foot structures in the normal and with Haglund syndrome. It was found that the maximum stress values are concentrated on the Achilles tendon, but in pathological model the stress values were significantly higher than normal in the whole range of motion of the foot. Normally, maximal stress on the calcaneus is localized on its posterior surface - on the anterior surface of the retrocalcaneal recess. In Haglund syndrome, maximum stress was recorded on the upper surface of the posterior sections of the calcaneus. Haglund syndrome is marked by overloading of the calf muscle. The results of this study explain the development of degenerative changes in the AT in patients with Haglund syndrome. It was also found that the enlarged posterior-upper part of the calcaneus is a factor in the development of insertional Achilles tendinopathy, which should also be considered when choosing further treatment.


Achilles tendinopathy; Haglund syndrome

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Alfredson H., & Spang C. Clinical presentation and surgical management of chronic Achilles tendon disorders - A retrospective observation on a set of consecutive patients being operated by the same orthopedic surgeon // Foot Ankle Surg. – 2018 Dec. – № 24(6). – p. 490-494. doi: 10.1016/j.fas.2017.05.011

Astrom M, Rausing A. Chronic achilles tendinopathy: a survey of surgical and histopathologic findings // Clin Orthop. – 1995. – №316. – p. 151-164.

Clain MR; Baxter DE: Achilles tendinitis // Foot Ankle. – 1992. – №13. – p.482-487.

Haglund P. Beitrag zur Klinik der Achillessehne // Zeitschr Orthop Chir. – 1928. – № 49. – p. 49-58.

Irwin T. A. Current Concepts Review: Insertional Achilles Tendinopathy // Foot & Ankle International. – 2010. - № 31(10). – p. 933-939. doi:10.3113/fai.2010.0933

Karjalainen P. T., Soila K., Aronen H. J. [et al.] MR Imaging of Overuse Injuries of the Achilles Tendon // American Journal of Roentgenology. – 2000. – № 175(1). – p. 251-260. doi:10.2214/ajr.175.1.1750251

Leitze Z, Sella EJ, Aversa JM. Endoscopic decompression of the retrocalcaneal space // J Bone Joint Surg Am. – 2003. – №85(8). – p.1488–1496.

Myerson M, McGarvey W. disorders of the achilles tendon insertion and achilles tendonitis // Instr Course Lecture . – 1999. – №48.– p.211-218.

Reinherz R.P., Smith B.A., Henning K.E. Understanding the pathologic Haglund’s deformity // J Foot Surg. – 1990. – № 29. – р. 432-435.

Schepsis AA, Leach RE. Surgical management of Achilles tendinitis // Am J Sports Med. – 1987– №15(4). – p. 308-315.

Shibuya N, Thorud JC, Agarwal MR, Jupiter DC. Is calcaneal inclination higher in patients with insertional Achilles tendinosis? A case-controlled, cross-sectional study // J Foot Ankle Surg. – 2012. – №51(6). – p. 757–761.

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Journal of Education, Health and Sport formerly Journal of Health Sciences

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1223 Journal of Education, Health and Sport eISSN 2391-8306 7

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