J Korean Foot Ankle Soc.  2005 Dec;9(2):188-192.

Clinical Utility of Radiographic Measurements of Insertional Achilles Tendinitis with Haglund's Deformity

• Kim KC
• Shin HK
• Kang DH

Abstract

PURPOSE: It is to analyze the clinical utility of radiograhpic measurements for the insertional Achilles tendinitis patients who have Haglund's deformity and to evaluate the radiographic values related to Haglund's deformity in normal Korean population.
MATERIALS AND METHODS
We used the angle of Fowler and Philip, parallel pitch lines (PPL) and Chauveaux-Liet (CL) angle as radiographic measurements. We examined 50 cases of insertional Achilles tendinits patients and another 50 cases of normal foot as a control.
RESULTS
In normal feet, the mean value of angle of Fowler and Philip was 53.22 degrees, CL angle was -33.14 degrees and the PPL showed positive in 48%. In case of insertional Achilles tendinitis, the mean values were 55.39 degrees, -33.63 degrees, positive in 56% respectively. There were not statistically significant differences (p>0.05).
CONCLUSION
The radiographic values for Haglund's deformity between insertional Achilles tendinitis feet and the normal feet did not show significant difference. Therefore, it seems that the clinical utility of radiographic measurements for the insertional Achilles tendinitis with Haglund's deformity is not useful and the development of new diagnostic methods as MRI and ultrasonography is required.

Keyword

Haglund's deformity; Insertional Achilles tendinitis; Radiographic measurement

MeSH Terms

Congenital Abnormalities*
Foot
Humans
Magnetic Resonance Imaging
Tendinopathy*
Ultrasonography