Definition Osteonecrosis (also known as bone necrosis, bone infarction) is an infarction of a whole bone or a part of a bone, which leads to the death of tissue (= necrosis). In principle, osteonecrosis can occur in any bone in the body (even in the big toe: Renander’s disease). However, there are some preferred localizations. … Osteonecrosis
Knee Osteonecrosis is also a typical disease for the knee, or the lower end of the thigh bone. If the knee is affected, the medical term is “Ahlbäck’s disease” (synonym: aseptic bone necrosis of the knee). The cause for the death of the bone substance is primarily a disturbance of the regular blood circulation of … Knee | Osteonecrosis
Pine The long-term intake of bisphosphonates can lead to the death of bone tissue in all bony structures. While this phenomenon is quite rare in the knee area, bisphosphonate-induced osteonecrosis in the jaw is more common. Furthermore, drugs from the steroid group are also suspected of provoking osteonecrosis of the jaw and knee. Patients suffering … Pine | Osteonecrosis
Therapy The therapy of choice for osteonecrosis depends on several factors. Sometimes it is sufficient to spare the affected part of the body for a while and not to burden it with weight, i.e. to treat it purely conservatively. Thanks to this resting period, spontaneous healing can often be achieved. In worse cases, however, only … Therapy | Osteonecrosis
Synonyms Haglund heel, Haglund exostosis, Haglund exostosis, Calcaneus altus et latus Definition The Haglund heel is a shape variant of the heel bone body, which is prominently formed in its lateral and back part and can therefore lead to pressure pain in the shoe. The Haglund’s heel often occurs in connection with a heel spur. … The Haglund – Heel
SymptomsComplaints Patients with a painful (symptomatic) Haglund’s heel report a load-dependent pain in the area of the rear heel (hindfoot). Ready-made shoes are poorly tolerated. Often patients wear shoes without heel cap. In the area of the middle Achilles tendon insertion, the heel skin is reddened, swollen and pressure-sensitive. The Achilles tendon may be bulbous. … SymptomsComplaints | The Haglund – Heel
Surgical therapy Despite the various conservative options, the conservative measures are often only temporarily helpful. In order to eliminate the pain and inflammation permanently, the actual cause must be removed. This can be done in the course of an operation. If the heel bone is severely deformed, it often has to be surgically reduced in … Surgical therapy | The Haglund – Heel
Prognosis The prognosis for a successful treatment of the Haglund heel is good. The treatment can last for many weeks. Recurrence symptoms after conservative therapy are frequent. Recurrences can also occur after surgical treatment of the Haglund’s heel, especially if the posterior bone projection is not completely removed. A spontaneous healing of a Haglund’s heel … Prognosis | The Haglund – Heel
Summary All articles in this series: The Haglund – Heel SymptomsComplaints Surgical therapy Prognosis Summary
Definition In medicine, exostoses (or singular exostosis: from ex = out, out and os = bone) always refer to overlegs, i.e. additional compact bones that grow outwards. Mr. Patrik Haglund was a Swedish orthopedist and surgeon after whom this exostosis is named. The terms Haglund exostosis, Haglund syndrome, Haglund pseudoexostosis can be used synonymously. Anatomy … Haglund exostosis
Symptomatology Not every person with a Haglund exostosis suffers from symptoms that are due to this bone protrusion. Symptoms can be triggered by excessive physical exertion, incorrect footwear (chronic pressure on the exostosis area) or foot malpositions. Constant stress on the surrounding structures leads to the characteristic symptoms. The reason for this is an irritation … Symptomatology | Haglund exostosis
Insoles Orthopedic footwear can help reduce the discomfort associated with Haglund exostosis. The aim here is to reduce the strain on the ossified overbone at the heel through targeted padding or recesses in the shoe insoles. For example, there are special Haglund cushions which cushion the heel in the shoe and thus prevent over-irritation of … Insoles | Haglund exostosis