Orthopaedic Jobs

Seever's Diease / Calcaneal Apophysitis


- Discussion:
    - classically described as causing heel pain in older children, just prior to fusion of the calcaneal apophysis (between ages 12-15 yrs);
    - diff dx: seronegative arthritis
    - often associated with tight heel cord;
    - it has been argued in the past that the radiographic fragmentation of the apophysis correlated w/ the patient's symptoms;
    - as is shown below, however, fragmentation of the apophysis is a normal finding

- Normal Radiographs:


Prevention and management of calcaneal apophysitis in children: an overuse syndrome.    
   
Sever's injury: a stress fracture of the immature calcaneal metaphysis.  

Is radiographic evaluation necessary in children with a clinical diagnosis of calcaneal apophysitis (sever disease)?



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, September 5, 2012 3:39 pm