A Prospective Case Series - Partial Resection of Calcaneal Tuberosity for Haglund’s Syndrome - Functional Outcomes

Sep 29, 2026

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A prospective case series evaluated functional and radiological outcomes after partial calcaneal tuberosity resection with bursectomy in adults with symptomatic Haglund’s syndrome unresponsive to conservative care. Between January 2023 and July 2025, 12 patients treated at Sree Balaji Medical College Hospital had AOFAS hindfoot scores and lateral radiographs recorded preoperatively and at 6 weeks, 3 months, and final follow-up (minimum 6 months). Mean AOFAS improved from 55.6 to 77.5 at 6 months with no major complications reported.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages5

Reading Time13 min

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Abstract

Introduction

Aim and objectives

Materials and Methods

Patient selection and grouping

Surgical protocol

Results

Discussion

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Original Article Journal of Orthopaedic Case Reports 2025 December:15(12):Page 283-287 A Prospective Case Series: Functional Outcomes aěer Calcaneal Tuberosity Partial Resection for Haglund’s Syndrome Ashin Khan1, Lionel R John1, Arivoli S1, Kaarthikeyan S1 Learning Point of the Article: Partial resection of the calcaneal tuberosity with bursectomy signiėcantly improves functional outcomes in patients with Haglund’s syndrome unresponsive to conservative management. Abstract Introduction: ĉe aims and objectives ofthe study are to evaluate the functional improvement and radiological outcomes following partial resection of the calcaneal tuberosity in patients with Haglund’s syndrome unresponsive to conservative management using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system as illustrated in Figure. Materials and Methods: From January 2023 to July 2025, 12 adult patients treated at Sree Balaji Medical College Hospital with symptomatic Haglund’s syndrome underwent partial calcaneal tuberosity resection and bursectomy. Patients had failed ≥3 months of conservative care. Functional assessments (AOFAS hindfoot score) and lateral radiographs (Fowler–Philip angle, calcaneal pitch, and total calcaneal angle) were recorded preoperatively, and at 6 weeks, 3 months, and ėnal follow-up (minimum 6 months). Results: Mean AOFAS scores improved from 55.6 preoperatively to 77.5 at 6 months, indicating statistically and clinically signiėcant improvement. No major complications were observed during the follow-up period. Discussion: Partial osteotomy of the calcaneal tuberosity oﬀers a safe and eﬀective option for patients with Haglund’s syndrome who fail to respond to conservative therapy. It signiėcantly improves function and reduces pain, as evidenced by a consistent rise inAOFAS scores. Conclusion: Partial osteotomy of the calcaneal tuberosity oﬀers a safe and eﬀective option for patients with Haglund’s syndrome who fail to respond to conservative therapy. It signiėcantly improves function and reduces pain, as evidenced by consistent rise inAOFAS scores. Keywords: Haglund’s syndrome, calcaneal tuberosity osteotomy, American Orthopaedic Foot and Ankle Society score, heel pain, foot surgery, retrocalcaneal bursitis, functional outcome. Introduction Haglund’s syndrome is a painful condition involving a bony prominence on the posterosuperior aspect of the calcaneus, oěen leading to retrocalcaneal bursitis and Achilles tendinopathy [1]. ĉis disorder, commonly seen in active individuals, particularly females, can cause signiėcant morbidity.ĉe pathophysiology involves irritation caused by mechanical impingement between the Achilles tendon and the prominent calcaneal tuberosity [2]. Conservative treatment options include non-steroidal antiinĚammatory drugs, heel liěs, footwear modiėcations, and physiotherapy [3]. Surgical intervention becomes necessary when conservative methods fail [4]. Partial osteotomy of the calcaneal tuberosity, by reducing the bony prominence, aims to |
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DOI:
hĨ[ps://doi.org/10.13107/jocr.2025.v15.i12.6536](ps://doi.org/10.13107/jocr.2025.v15.i12.6536) | Author’s Photo Gallery | | | | | --- | --- | --- | --- | --- | | | | | | | | |
1Department of Orthopaedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu 600044, India.
Address of Correspondence:
Dr. Ashin Khan,
F2 , E-Block , Men’s PG hostel , Sree Balaji Medical College and Hospital, Chrompet , Chennai, Tamil Nadu 600044, India.
E-mail: [aashinkhan.31@gmail.com](aashinkhan.31@gmail.com) | | | | | SubmiĨed: 15/09/2025; Review: 26/10/2025; Accepted: November 2025; Published: December 2025 | | | | | | DOI: hĨ[ps://doi.org/10.13107/jocr.2025.v15.i12.6536](ps://doi.org/10.13107/jocr.2025.v15.i12.6536)
© ĉe Author(s). 2025 Open Access. ĉis article is distributed under the terms of the Creative

FAQs

What treatment approach was assessed for Haglund’s syndrome?

The study assessed partial resection of the calcaneal tuberosity with bursectomy to reduce the bony prominence and relieve pressure on the Achilles insertion and retrocalcaneal bursa.

How were functional outcomes measured in the study?

Functional outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, recorded preoperatively and during follow-up visits.

What were the main results and were there major complications?

Mean AOFAS scores improved from 55.6 preoperatively to 77.5 at 6 months, and no major complications were observed during the follow-up period.

Sep 29, 2026

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