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Calcaneal apophysitis (Sever disease).

Christopher L Hendrix1

  • 1Campbell Clinic Orthopaedics, 1400 S. Germantown Road, Germantown, TN 38138, USA. chendrix@campbellclinic.com

Clinics in Podiatric Medicine and Surgery
|November 24, 2004
PubMed
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Sever disease, or calcaneal apophysitis, is heel pain in children caused by repetitive Achilles tendon stress during growth spurts. Early recognition by parents and coaches is key for effective treatment and prevention.

Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Biomechanical Injuries

Background:

  • Calcaneal apophysitis (Sever disease) is a common cause of heel pain in active children.
  • It involves inflammation of the calcaneal apophysis due to repetitive microtrauma.
  • This condition is often linked to the growth spurt and increased physical activity.

Purpose of the Study:

  • To describe the etiology, clinical presentation, and management of calcaneal apophysitis.
  • To raise awareness among parents and coaches regarding Sever disease symptoms.
  • To emphasize the importance of early intervention for calcaneal apophysitis.

Main Methods:

  • Literature review on calcaneal apophysitis.
  • Clinical observation of pediatric patients with heel pain.

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  • Analysis of biomechanical factors contributing to the condition.

    • Main Results:

    • Calcaneal apophysitis results from the Achilles tendon's traction on the unossified apophysis.
    • Symptoms commonly appear during peak growth spurts and the onset of new sports seasons.
    • Pain is exacerbated by activity and relieved by rest.

    Conclusions:

    • Early identification of Sever disease symptoms is crucial for timely management.
    • Protective and proactive measures can help prevent or mitigate calcaneal apophysitis.
    • Appropriate treatment strategies are essential for a favorable outcome in pediatric patients.