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Osteochondropathy Haglund-Schinz

 
, medical expert
Last reviewed: 23.04.2024
 
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Aseptic necrosis of the calcaneal tuber, most often encountered by adolescent girls, is Haglund-Schinz osteochondropathy. It develops due to constant overload of the foot and with repeated injuries of the heels. In some cases, there is a bilateral lesion. Treats diseases of children's and youthful age, occurs at adults extremely seldom.

The calcaneus is the largest bone of the foot of the spongy structure. It is an increased load during walking, running. On the posterior surface of the bone is the calcaneal tuber - protruding portion. An Achilles tendon and a long plantar ligament are attached to it.

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Causes of the osteochondropathy

Causes of the disease:

  • Hereditary predisposition
  • Exchange violations.
  • Neurotrophic disorders.
  • Infectious diseases.
  • Frequent foot injuries.

Increased loads lead to a violation of vascular tone due to which the bone area does not receive sufficient nutrients. Against this background, bone destruction occurs without the participation of infectious agents and inflammation.

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Symptoms of the osteochondropathy

Symptoms of Haglund-Shinz disease:

  • Discomfort when resting on the heel and after any load.
  • No pain at rest.
  • Atrophy of the muscles of the leg.
  • Pain in the foot during flexion and extension.
  • Limping and pain on palpation of the calcaneal tuber.

In this case, the disease does not cause swelling of soft tissues, skin atrophy or inflammatory reactions. In some cases, after the end of the growth of the foot painful symptoms completely disappear. 

Diagnostics of the osteochondropathy

Diagnosis consists of collecting history, studying clinical symptoms and radiological signs. 

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Differential diagnosis

Differentiation is carried out with bursitis, osteomyelitis, periostitis, bone tuberculosis, and malignant neoplasms.

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Treatment of the osteochondropathy

The treatment is conservative. The restriction of the load on the foot, wearing orthopedic insoles. With sharp pains, temporary fixation with plaster longevum, anesthetic medications are possible. 

Forecast

Pathology has a favorable prognosis, since all painful symptoms disappear within 1-2 years or until the completion of the growth of the foot.

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