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Date of last update: 9/9/2017.

Forum Name: Pediatric Topics

Question: knot on back of infant's heel

 MA_and_mom_of_3 - Mon Aug 20, 2007 10:15 am

My daughter is 18 months and not walking. There is no family hx of foot problems. She has been very healthy since birth. She hates to wear shoes. I recently discovered a knot (hard, like bone) on the backs of her ankles that is red. By research, they are described like Haglund's deformity but I cannot find anything on this occuring in infants who do not walk. Is this possible? What else could it be? Thank you for you time and bless you all!
 Dr. Chan Lowe - Mon Aug 20, 2007 10:24 pm

User avatar Hi MA_and_mom_of_3,

I am not aware of Haglund's deformity occurring in children so young. It is thought to be caused by pressure, typically from a shoe strap, essentially causing a callous to form on the bone creating a prominence that can be quite painful.

An 18 month old would not be expected to be experiencing such an irritation to cause this. There are some other bony anomalies that can occur in children that can present similarly.

You may want to request a referral to an orthopedic specialist for further evaluation.

Best wishes.

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