{"id":556,"date":"2017-10-15T19:19:17","date_gmt":"2017-10-15T19:19:17","guid":{"rendered":"http:\/\/www.fizioterapijaljubljana.si\/?p=556"},"modified":"2026-03-20T10:45:39","modified_gmt":"2026-03-20T10:45:39","slug":"kaj-je-haglundova-deformacija-oziroma-retrokalkanealna-eksostoza-in-moznosti-terapije","status":"publish","type":"post","link":"https:\/\/krickrac.net\/fizio\/najem-aparatov\/kaj-je-haglundova-deformacija-oziroma-retrokalkanealna-eksostoza-in-moznosti-terapije","title":{"rendered":"Kaj je Haglundova deformacija oziroma retrokalkanealna eksostoza in mo\u017enosti terapije"},"content":{"rendered":"
Prispevek pripravil\/a: Urh Munda, dipl.fiziot., in Tatjana Jegli\u010d, dipl.fiziot., IBITA Instructor<\/h6>\n

Haglundova deformacija oziroma Haglundov sindrom, opisan \u017ee leta 1927 s strani Patricka Haglunda. Imenujemo jo tudi retrokalkanealna eksostoza, gre pa za mehkotkivno ali tudi kostno deformacijo narasti\u0161\u010da ahilove tetive. Kostni izrastek na peti (narasti\u0161\u010du tetive) se pove\u010da, s tem pa tudi pritisk na mehkotkivne strukture (3, 4)<\/p>\n

Vzrok nastanka je precej neznan, torej idiopatski, obstajajo pa povezave z omenjenim stanjem in prenapeto Ahilovo tetivo, vi\u0161jim stopalnim lokom in dednostjo. Ve\u010dje tveganje za nastanek pripisujemo tudi pretreniranosti (pogosto pri teka\u010dih) in neprimerni obutvi (predvsem preve\u010d stiskajo\u010di \u010devlji). Pogosteje se pojavi v srednjih letih, v bilateralni obliki (obojestranski), pojavnost je ve\u010dja pri \u017eenskah (3)<\/p>\n

Pojavijo se bole\u010dine v zadnjem delu stopala, kjer se Ahilova tetiva prira\u0161\u010da (slika 1), pogosto pa bole\u010dina vztraja tudi po mirovanju (3, 4).<\/p>\n

\"\"<\/a><\/p>\n

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Slika 1: Najpogostej\u0161e mesto bole\u010dine pri Haglundovi deformaciji<\/em><\/h6>\n

Kadar nastopi omenjena simptomatika moramo izlo\u010diti tudi slede\u010de: kalkanealni burzitis; vnetje narasti\u0161\u010da Ahilove tetive; plantarni fascitis; avulzijo Ahilove tetive.<\/p>\n

Diferencialno diagnostiko lahko opravi fizioterapevt \u010de dobro pozna<\/strong> lokalizacijo bole\u010dine pri zgoraj omenjenih stanjih.<\/p>\n

Najpogosteje se deformacija opazi \u017ee pri inspekciji in fizikalnem pregledu, prav tako pa je sprememba vidna na diagnosti\u010dnih slikanjih (magnetna resonanca,..). V za\u010detnih stanjih, pa je diagnozo precej te\u017eko odkriti, saj spremembe niso o\u010ditne (3, 4).<\/p>\n

Na\u010dini zdravljenja so raznoliki, lahko jih pa razdelimo na invazivne <\/strong>in neinvazivne <\/strong>metode.<\/p>\n

Invazivne metode<\/strong> vklju\u010dujejo:<\/p>\n

-vbrizgavanje steroidnih injekcij<\/p>\n

-operacijski poseg (retrokalkanealna dekompresija, kalkanealna osteotomija)* <\/strong>(1, 2, 3, 4)<\/p>\n

*navedene pooperativne komplikacije vklju\u010dujejo avulzijo Ahilove tetive, bole\u010dino v peti, po\u0161kodbe \u017eivca, togost (slab\u0161a gibljivost) gle\u017enja<\/p>\n

Iz pregledanih raziskav je razvidno, da se invazivni poseg priporo\u010da le kadar se stanje ponavlja ali kadar neinvazivne metode niso u\u010dinkovite (3)!<\/p>\n

\u00a0<\/strong><\/p>\n

Neinvazivne metode <\/strong>pa predstavljajo:<\/p>\n

-fizioterapevtske obravnave (manualne tehnike in medicinski aparati)<\/p>\n

-prilagoditev \u010devlja in izbira ustreznega vlo\u017eka za obutev<\/p>\n

-mav\u010denje in lokalno hlajenje<\/p>\n

-proti-vnetna zdravila<\/p>\n

-raztezne vaje (1, 2, 3, 4)<\/p>\n

V Centru FizioterapijeLjubljana se za odpravo razli\u010dnih stanj\/po\u0161kodb terapevta neprenehoma izobra\u017eujeva in izpopolnjujeva. Z uporabo medicinskih aparatur pripravimo sklep na nadaljnje (manualne) postopke, ki jih izvajamo v \u010dasovnih intervalih, ki so za posameznika najbolj primerne. Vsekakor zraven raznolikih mobilizacijskih tehnik igrajo klju\u010dno vlogo udarni valovi (ESWT), ki imajo pri omenjenem stanju zelo dobre izide. V kombinaciji z medicinskim iglanjem (t.i.: dry needling) in ostalo spremljevalno terapijo lahko govorimo o hitrem in kvalitetnem povratku v vsakodnevne aktivnosti.<\/p>\n

Literatura:<\/p>\n

1: https:\/\/link.springer.com\/chapter\/10.1007\/978-3-319-15735-1_22<\/a><\/p>\n

2: http:\/\/www.sciencedirect.com\/science\/article\/pii\/S095825921500084X<\/a><\/p>\n

3: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5101401\/<\/a><\/p>\n

4: http:\/\/www.ortopedija-mb.si\/Zbornik_2016.pdf<\/a><\/p>\n

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Prispevek pripravil\/a: Urh Munda, dipl.fiziot., in Tatjana Jegli\u010d, dipl.fiziot., IBITA Instructor Haglundova deformacija oziroma Haglundov sindrom, opisan \u017ee<\/p>\n","protected":false},"author":2,"featured_media":558,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51],"tags":[],"class_list":["post-556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-najem-aparatov"],"yoast_head":"\nKaj je Haglundova deformacija oziroma retrokalkanealna eksostoza in mo\u017enosti terapije - Center Fizioterapije Ljubljana<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kaj je Haglundova deformacija oziroma retrokalkanealna eksostoza in mo\u017enosti terapije - 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