capped hock


Formally called Haglund deformity. An exostosis over the posterolateral aspect of the calcaneus caused by recurrent friction, ± bursitis
Cause Multifactorial—e.g., abnormal mechanics leading to excess motion of calcaneus, congenital deformity of calcaneus, irritation from women’s shoes known as ‘pumps’
Management Open-heeled/flat shoes, moleskin padding of calcaneus, cryomassage, orthotics to control excess motion; surgical excision
Exam Positive 2-finger squeeze test