History: Heel Pain
Answer: Haglund's Syndrome
Haglund's deformity = post-sup calcaneal spur (red)="pump bump"
Haglund's syndrome = deformity +Kager's fat pad edema (blue)+thick Achilles @ insertion & retroAchilles bursitis (green)
Haglund's deformity/syndrome is assoc w use of rigid heel shoes, ex high heels (aka "pumps") -> irritation @ Achilles insertion & retroAchilles bursitis -> deformity+ edema+pain
US & MR show same thing!
Deformity(spur) alone does NOT necessarily =symptoms (similar to how plantar spur does not =plantar fasciitis symptoms)