Foot: Haglund deformity: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Foot: Haglund deformity

Sample item

A young woman who wears stiff-backed shoes has pain and a firm bump at the back of the heel, with swelling of the retrocalcaneal bursa. Radiographs show a prominent posterosuperior calcaneus. What is this condition?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Haglund deformity

Haglund deformity is a prominence of the posterosuperior calcaneus that irritates the Achilles insertion and the retrocalcaneal bursa. It is called a pump bump and is aggravated by rigid footwear. Treatment starts with shoe modification and may progress to excision.

Option by option

  • A. Plantar fasciitis

    Plantar fasciitis causes inferior heel pain on first steps.

  • B. Haglund deformity (correct)

    Correct. A posterosuperior calcaneal prominence with retrocalcaneal bursitis is Haglund deformity.

  • C. Sever disease

    Sever disease is apophysitis of the calcaneus in children aged 8 to 14.

  • D. Tarsal tunnel syndrome

    Tarsal tunnel syndrome causes burning pain and sensory loss in the sole.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, Haglund deformity. Haglund deformity is a prominence of the posterosuperior calcaneus that irritates the Achilles insertion and the retrocalcaneal bursa.

Why is "Plantar fasciitis" not the answer?

Plantar fasciitis causes inferior heel pain on first steps.

Why is "Sever disease" not the answer?

Sever disease is apophysitis of the calcaneus in children aged 8 to 14.

Why is "Tarsal tunnel syndrome" not the answer?

Tarsal tunnel syndrome causes burning pain and sensory loss in the sole.

What concept does this question test?

It tests Foot: Haglund deformity in Orthopaedics. It is called a pump bump and is aggravated by rigid footwear. Treatment starts with shoe modification and may progress to excision.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Foot: Haglund deformity?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.