Endoscopic Calcaneoplasty: An Improved Technique

Abstract

Haglund's syndrome is a triad of posterosuperior calcaneal prominence, retrocalcaneal bursitis, and insertional Achilles tendonitis. Endoscopic treatment of patients with this triad allows for earlier weight bearing, direct visualization of the Achilles insertion, and less soft tissue disruption. In addition, it allows excellent visualization of the pathology. The authors present a technique of endoscopic calcaneoplasty in the prone position with the monitor at the foot of the bed and the surgeon standing beside the patient. Prone positioning allows for easier access to the Haglund's deformity, a more logical view on the monitor, and a more ergonomic hand position.