MRI in patients with Haglund’s deformity and its influence on therapy
Introduction Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund’s deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund’s syndrome with calcaneal bursiti...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2019-07, Vol.139 (7), p.903-906 |
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| creator | Debus, Florian Eberhard, Hans-Joachim Olivieri, Manuel Peterlein, Christian Dominik |
| description | Introduction
Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund’s deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund’s syndrome with calcaneal bursitis and Achilles tendinosis. This study aims to investigate the roll of MRI in diagnosis of Haglund’s syndrome and its influence on therapy.
Materials and methods
We retrospectively analysed data of 45 patients which clinically and radiologically confirmed Haglund’s deformity. Patients were divided into two groups that either did not receive MRI (MRI_0) or received MRI (MRI_1). To evaluate the significance, Fisher´s test was used. A statistical significance was assumed at
p
|
| doi_str_mv | 10.1007/s00402-019-03122-w |
| format | Article |
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Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund’s deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund’s syndrome with calcaneal bursitis and Achilles tendinosis. This study aims to investigate the roll of MRI in diagnosis of Haglund’s syndrome and its influence on therapy.
Materials and methods
We retrospectively analysed data of 45 patients which clinically and radiologically confirmed Haglund’s deformity. Patients were divided into two groups that either did not receive MRI (MRI_0) or received MRI (MRI_1). To evaluate the significance, Fisher´s test was used. A statistical significance was assumed at
p
< 0.05.
Results
The average age was 57.0 years. There was no significant difference in therapy comparing the groups MRI_0 and MRI_1. Haglund’s syndrome was detected in 86.7% of all patients with Haglund’s deformity.
Conclusion
MRI does not influence the therapy of patients with Haglund’s deformity. Therefore, the resources of this cost-intensive and limited type of investigation should be used elsewhere. In cases of atypical heel pain, the MRI might be useful.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-019-03122-w</identifier><identifier>PMID: 30666401</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Bursitis ; Medicine ; Medicine & Public Health ; Orthopaedic Surgery ; Orthopedics ; Pain ; Patients ; Studies ; Surgeons ; Surgery ; Tendinitis ; Tendons ; Ultrasonic imaging</subject><ispartof>Archives of orthopaedic and trauma surgery, 2019-07, Vol.139 (7), p.903-906</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-fdfadc608410add2d5986fa0262dd0b5c9e7bbec3e56fdba031664067a4e2e243</citedby><cites>FETCH-LOGICAL-c375t-fdfadc608410add2d5986fa0262dd0b5c9e7bbec3e56fdba031664067a4e2e243</cites><orcidid>0000-0002-5117-0101</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-019-03122-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-019-03122-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30666401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Debus, Florian</creatorcontrib><creatorcontrib>Eberhard, Hans-Joachim</creatorcontrib><creatorcontrib>Olivieri, Manuel</creatorcontrib><creatorcontrib>Peterlein, Christian Dominik</creatorcontrib><title>MRI in patients with Haglund’s deformity and its influence on therapy</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund’s deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund’s syndrome with calcaneal bursitis and Achilles tendinosis. This study aims to investigate the roll of MRI in diagnosis of Haglund’s syndrome and its influence on therapy.
Materials and methods
We retrospectively analysed data of 45 patients which clinically and radiologically confirmed Haglund’s deformity. Patients were divided into two groups that either did not receive MRI (MRI_0) or received MRI (MRI_1). To evaluate the significance, Fisher´s test was used. A statistical significance was assumed at
p
< 0.05.
Results
The average age was 57.0 years. There was no significant difference in therapy comparing the groups MRI_0 and MRI_1. Haglund’s syndrome was detected in 86.7% of all patients with Haglund’s deformity.
Conclusion
MRI does not influence the therapy of patients with Haglund’s deformity. Therefore, the resources of this cost-intensive and limited type of investigation should be used elsewhere. In cases of atypical heel pain, the MRI might be useful.</description><subject>Age</subject><subject>Bursitis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopaedic Surgery</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Patients</subject><subject>Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Tendinitis</subject><subject>Tendons</subject><subject>Ultrasonic imaging</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kM1KxDAQx4Mouq6-gAcJePFSnSRt2hxl8QsUQfQc0ma6W-mma9Ky7M3X8PV8EqPrB3jwNIf5zX9mfoQcMDhhAPlpAEiBJ8BUAoJxniw3yIilIk2EYnKTjEAJmRSQsR2yG8ITAOOFgm2yI0BKmQIbkcvb-2vaOLowfYOuD3TZ9DN6Zabt4Ozby2ugFuvOz5t-RY2ztIlI4-p2QFch7RztZ-jNYrVHtmrTBtz_qmPyeHH-MLlKbu4urydnN0kl8qxPalsbW0koUgbGWm4zVcjaAJfcWiizSmFellgJzGRtSxP_-jhU5iZFjjwVY3K8zl347nnA0Ot5EypsW-OwG4LmLFcpgFJFRI_-oE_d4F28TnOeFUwyKHik-JqqfBeCx1ovfDM3fqUZ6A_Neq1ZR836U7NexqHDr-ihnKP9Gfn2GgGxBkJsuSn6393_xL4DUsuIyg</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Debus, Florian</creator><creator>Eberhard, Hans-Joachim</creator><creator>Olivieri, Manuel</creator><creator>Peterlein, Christian Dominik</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5117-0101</orcidid></search><sort><creationdate>20190701</creationdate><title>MRI in patients with Haglund’s deformity and its influence on therapy</title><author>Debus, Florian ; Eberhard, Hans-Joachim ; Olivieri, Manuel ; Peterlein, Christian Dominik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-fdfadc608410add2d5986fa0262dd0b5c9e7bbec3e56fdba031664067a4e2e243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Bursitis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopaedic Surgery</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Patients</topic><topic>Studies</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Tendinitis</topic><topic>Tendons</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Debus, Florian</creatorcontrib><creatorcontrib>Eberhard, Hans-Joachim</creatorcontrib><creatorcontrib>Olivieri, Manuel</creatorcontrib><creatorcontrib>Peterlein, Christian Dominik</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Debus, Florian</au><au>Eberhard, Hans-Joachim</au><au>Olivieri, Manuel</au><au>Peterlein, Christian Dominik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MRI in patients with Haglund’s deformity and its influence on therapy</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>139</volume><issue>7</issue><spage>903</spage><epage>906</epage><pages>903-906</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund’s deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund’s syndrome with calcaneal bursitis and Achilles tendinosis. This study aims to investigate the roll of MRI in diagnosis of Haglund’s syndrome and its influence on therapy.
Materials and methods
We retrospectively analysed data of 45 patients which clinically and radiologically confirmed Haglund’s deformity. Patients were divided into two groups that either did not receive MRI (MRI_0) or received MRI (MRI_1). To evaluate the significance, Fisher´s test was used. A statistical significance was assumed at
p
< 0.05.
Results
The average age was 57.0 years. There was no significant difference in therapy comparing the groups MRI_0 and MRI_1. Haglund’s syndrome was detected in 86.7% of all patients with Haglund’s deformity.
Conclusion
MRI does not influence the therapy of patients with Haglund’s deformity. Therefore, the resources of this cost-intensive and limited type of investigation should be used elsewhere. In cases of atypical heel pain, the MRI might be useful.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30666401</pmid><doi>10.1007/s00402-019-03122-w</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-5117-0101</orcidid></addata></record> |
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| subjects | Age Bursitis Medicine Medicine & Public Health Orthopaedic Surgery Orthopedics Pain Patients Studies Surgeons Surgery Tendinitis Tendons Ultrasonic imaging |
| title | MRI in patients with Haglund’s deformity and its influence on therapy |
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