Insertional Achilles Tendonitis

Question 1

HAGLUND’S DEFORMITY Etiologies****

Answer 1

Cavus Foot Compensated Rearfoot Varus Forefoot Valgus Plantarflexed First Ray Overuse/poor training Systemic diseases Shape of calcaneus Equinus

Question 2

SIGNS AND SYMPTOMS of HAGLUND’S DEFORMITY

Answer 2

Dull ache Aggravated by shoe gear High heel shoes? (Keep foot in an inverted position) Women 20-30

Question 3

What angles are used to evaluate Haglands Deformity?

Answer 3

Fowler And Philip Angle 75° (65°) Total Angle 90° - Calcaneal Inclination

Question 4

Kagers triangle boundaries ?

Answer 4

Superior boarder of calcaneous - Inferior Achilles Tendon - Posterior Flexors - Anterior

Question 5

TREATMENT of Haglunds Deformity****

Answer 5

Heel Lift Open Shoe Orthotics NSAID’S Ice

Question 6

Exostosis with or without spurring at Achilles Tendon insertion

Answer 6

RETROCALCANEAL EXOSTOSIS - Only way to get to it is is to detach the Achilles tendon

Question 7

Calcification of the Achilles Tendon*** continuous with calcaneal insertion (microtrauma, biomechanical related, SNA)

Answer 7

Type I

Question 8

Calcification of the Achilles Tendon** insertion zone, separated from the os calcis

Answer 8

Type II More proximal

Question 9

Calcification of the Achilles Tendon*** proximal to insertion zone (trauma, post-surgical, Wilson disease, ischemia)

Answer 9

Type III Even more proximal in the Achilles tendon

Question 10

What three different pathologies were the main focus of lecture?

Answer 10

Haglunds Calcifications (3 types) Retrocalcaneal Exostosis

Question 11

what is angle 1?

Answer 11

Fowler and Phillip Angle

Question 12

What is angle 2?

Answer 12

Calcaneal Inclination Angle

Question 13

What is angle 3?

Answer 13

Parallel Pitch Lines