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Review
. 2024 Jun;45(6):664-675.
doi: 10.1177/10711007241237529. Epub 2024 Apr 22.

Minimally Invasive Approaches to Haglund's Deformity and Insertional Achilles Tendinopathy: A Contemporary Review

SarahRose Hall  1 , Jonathan R M Kaplan  2 , Oliver N Schipper  3 , Ettore Vulcano  4 , A Holly Johnson  5 , J Benjamin Jackson  6 , Amiethab A Aiyer  7 , Tyler A Gonzalez  6
Affiliations
Review

Minimally Invasive Approaches to Haglund's Deformity and Insertional Achilles Tendinopathy: A Contemporary Review

SarahRose Hall et al. Foot Ankle Int. 2024 Jun.
No abstract available

Keywords: Endoscopic Haglund resection; Haglund’s deformity; Insertional Achilles tendinopathy; Minimally invasive surgery; Zadek osteotomy.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Jonathan R. M. Kaplan, MD, reports royalties or licenses and consulting fees from Enovis and Novastep. Oliver N. Schipper, MD, reports royalties or licenses and consulting fees from Enovis. Ettore Vulcano, MD, reports royalties or licenses and consulting fees from Novastep. Tyler A. Gonzalez, MD, MBA, reports consulting fees from Enovis. Disclosure forms for all authors are available online.

Figures

Figure 1.
Figure 1.
Dual portal system used in endoscopic Haglund resection, demonstrated by Michalski et al.
Figure 2.
Figure 2.
Endoscopic visualization of Haglund resection, A. during shaving and B. after removal of the bony prominence as demonstrated by Ortmann and McBryde.
Figure 3.
Figure 3.
(A) Preoperative and (B) postoperative measurements following endoscopic Haglund resection by Vega et al.
Figure 4.
Figure 4.
Preoperative fluoroscopy of MIS Haglund resection with needle to define the Haglund deformity by Ferranti et al.
Figure 5.
Figure 5.
Postoperative fluoroscopy of MIS Haglund deformity resection by Ferranti et al.
Figure 6.
Figure 6.
(A) Sagittal and (B) axial schematic drawings of quadrant cut guide for percutaneous Zadek osteotomy as provided by Kaplan et al.
Figure 7.
Figure 7.
Fluoroscopic imaging demonstrating oblique position of K-wires following percutaneous Zadek osteotomy (A) prior to and (B) following reduction maneuver.
Figure 8.
Figure 8.
Final fluoroscopic imaging, demonstrating placement of two headless cannulated compression screws, perpendicular to the percutaneous Zadek osteotomy as described by Kaplan et al.
See this image and copyright information in PMC

References

    1. AccessMedicine, McGraw Hill Medical. Ankle MRI. Basic Musculoskeletal Imaging, 2e. 2021. https://accessmedicine.mhmedical.com/content.aspx?sectionid=255923635&bo...
    1. Agostinho De Lima Gomes M, Monteiro GF, Fernandes J, Neto A. Percutaneous surgery in the treatment of Haglund syndrome. J Foot Ankle. 2020;14(3):285-292. doi:10.30795/JFOOTANKLE.2020.V14.1192 - DOI
    1. American Academy of Orthopaedic Surgeons. Minimally invasive surgery gains traction among foot and ankle surgeons. Accessed February 21, 2023. https://www.aaos.org/aaosnow/2019/sep/clinical/clinical02/
    1. Boffeli TJ, Peterson MC. The Keck and Kelly wedge calcaneal osteotomy for Haglund’s deformity: a technique for reproducible results. J Foot Ankle Surg. 2012;51(3):398-401. doi:10.1053/j.jfas.2012.03.002 - DOI - PubMed
    1. Boniface O, Vervoort T. Endoscopic treatment of insertional Achilles tendinopathy: a cadaver feasibility study. Orthop Traumatol Surg Res. 2021;107(6):102893. doi:10.1016/J.OTSR.2021.102893 - DOI - PubMed

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