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High heel bone (Calcaneus altus)

Cacaneal tuberosity, Haglund heel

The calcaneal tuberosity is an enlargement of the upper posterior calcaneal corner. Through shoe pressure, mechanical irritation can be caused to the surrounding soft parts such as bursae, Achilles tendon and sheaths.

Often this "ganglion" is only irrating and painful in tight shoes. Sometimes this irritation can also result in spontaneous tears of the Achilles tendon.

Treatment

Through conservative therapy (measures to reduce swelling, shoe modifications, physiotherapy and special insoles) improvement can sometimes be achieved. The problem is only really solved by surgically removing the tuberosity and removal of the most inflamed bursa and sheaths.<br>/br>The incision length on the outer side of the heel is approximately 4 to 5 cm.

Post treatment

Full weight bearing from the fourth postoperative day, hospitalization few days.

Work ability

Operation on only one side office work can be resumed after approximately ten days, operation on both sides and heavy physical labour, after roughly 2 months.

Sports activities

After approximately four weeks for less strenuous sports, after operation on both sides after approximately twoto four months for squash and tennis.

Results

Good results are achieved in almost 95 percent of cases.

Complications

Infection in about 2 percent of cases, where however, the end result itself rarely affected by it.

Example:




The arrow indicates the calcaneal tuberosity.





The chiselled off surface must be smooth (red arrows). Particularly important is the "complaint corner" on the Achilles tendon insertion (yellow arrow), if the bone remains here, then a relapse is inevitable (recurrence of the same symptoms).