Surgical Treatment for Haglund's Deformity

Haglund氏變形之開刀治療

陳崇桓(Chung-Hwan Chen) ； 黃鵬如(Peng-Ju Huang) ； 陳泰斌(Tai-Bin,Chen) ； 鄭裕民(Yuh-Min Cheng) ； 林森源(Sen-Yuen Lin) ； 江秀珠(Hsiu-Chu Chiang) ； 黃兆永(Chao-Yung Huang) ； 黃昭貴(Chao-Kuei Huang)

《The Kaohsiung Journal of Medical Sciences》 17卷8期 (2001/08) Pp. 419-422

https://doi.org/10.6452/KJMS.200108.0419

摘要

Haglund氏變形，又稱“pump bump”，是個後足痛的常見原因，其臨床表現為跟腱附著點附近會有一個疼痛的軟組織腫脹。我們追蹤了接受保守治療失敗而開刀的病人，共19個病人，30個踝關節。開刀治療主要是經由內側的傷口進行包括後足跟突出處的切除及滑囊切除。14個病人（78％），19個踝關節接受了追蹤治療。平均追蹤的時間是六年（範圍從3－10年）。只有2個病人中的4（10％）個踝關節在術後有持續的疼痛。27（90％）個踝關節在術後痊癒。但25（83％）個踝關節在術後半年至兩年仍有持續疼痛，之後才完全痊癒。所以我們推論Haglund氏變形的開刀治療能得到一個相當好的結果（９０％），但需要約半年至兩年才能完全恢復。

並列摘要

Haglund’s deformity, or “pump bump” is a common cause of posterior heel pain, characterized clinically by a painful soft tissue swelling at the level of the Achilles tendon insertion. We reviewed 30 heels in 19 patients with failure of conservative treatment. Surgical management consisted of excision of the posterior calcaneal tuberosity and bursectomy through a medial longitudinal incision. The average follow-up period was 6 years (range, 3-10 years). Only 3 heels (10%) in 2 patients had persistent pain. Twenty-seven heels (90%) were cured after operation. However, 25 heels (83%) had residual pain for a half to two years after operation and became free of symptoms thereafter. We conclude surgical treatment of Haglund’s deformity produces a predictably good result (90%) but requires a long time about a half to two years for full recovery.

並列關鍵字

Haglund's deformity