Resection of Haglund’s deformity using the arthroscopic method with the three-portal technique

Abstract

Introduction. Haglund’s deformity represents a reactive enlargement of the posterosuperior aspect of the calcaneus and often causes pain that can significantly disturb everyday activities. If the patient’s condition does not improve after six months of non-surgical treatment, surgical treatment could be taken into consideration. Although Haglund’s deformity is successfully treated by endoscopic calcaneoplasty with a two-portal technique, we decided to apply a slightly newer technique – arthroscopic surgery with a three-portal technique. Case outline. A patient with clinically and radiographically confirmed Haglund’s deformity was operated on using arthroscopic calcaneoplasty with a three-portal technique. The postoperative recovery was uneventful and full weight-bearing was allowed after four weeks. A complete return to sports activities was allowed after four months. Conclusion. Arthroscopic calcaneoplasty with the three-portal technique proved to be a safe and costeffective surgical method in the treatment of Haglund’s deformity. There is still not enough data in the literature regarding this type of surgical treatment, but the good postoperative functional results are extremely encouraging since this surgical technique enables faster recovery and fewer postoperative complications.

Keywords

• endoscopic calcaneoplasty
• hindfoot
• haglund disease
• retrocalcaneal bursitis