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Sever's disease and its relationship to equinus: a statistical analysis
S E Szames1, W M Forman, J Oster
1Department of Podiatric Surgery, Doctors Hospital, Columbus, Ohio.
Clinics in Podiatric Medicine and Surgery
|April 1, 1990
Summary
Equinus, a condition affecting foot and ankle flexibility, significantly increases a child
Area of Science:
- Orthopedics
- Pediatric Medicine
- Sports Medicine
Background:
- Sever's disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children.
- It affects the growth plate of the heel bone (calcaneus).
- Contributing factors are often related to overuse and biomechanical issues.
Purpose of the Study:
- To investigate the relationship between equinus and the development of Sever's disease in children.
- To determine if equinus is a significant predisposing factor for Sever's disease.
- To highlight the importance of considering and treating equinus in the management of Sever's disease.
Main Methods:
- Retrospective analysis of pediatric patient cases presenting with heel pain.
- Clinical assessment of foot and ankle biomechanics, specifically evaluating for equinus.
- Correlation of equinus presence with the diagnosis and severity of Sever's disease.
Main Results:
- A significant correlation was found between the presence of equinus and the incidence of Sever's disease.
- Children with equinus were more likely to develop Sever's disease compared to those without.
- Equinus was identified as a probable causative factor in a substantial proportion of cases.
Conclusions:
- Equinus is a definite contributing factor in predisposing children to Sever's disease.
- Appropriate treatment of equinus should be considered in the management of pediatric heel pain.
- Clinicians should rule out other potential causes while recognizing equinus as a probable etiology.