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Related Concept Videos

Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
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The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Complications of Diabetes Mellitus01:22

Complications of Diabetes Mellitus

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Related Experiment Videos

Sever's disease complicated with osteomyelitis.

Matej Mustapić, Igor Borić, Dragan Lepur

    Acta Clinica Croatica
    |August 29, 2014
    PubMed
    Summary

    Sever's disease, a common cause of heel pain in young athletes, can rarely be complicated by calcaneal osteomyelitis. Early MRI is crucial for diagnosing this rare complication and guiding treatment.

    Area of Science:

    • Pediatric Orthopedics
    • Radiology
    • Infectious Diseases

    Background:

    • Sever's disease, or calcaneal apophysitis, is a common cause of posterior heel pain in active children, typically diagnosed via clinical exam, radiographs, and ultrasound.
    • It is generally a self-limiting condition managed conservatively, with symptoms usually resolving with rest and supportive care.

    Observation:

    • A 9-year-old boy presented with persistent heel pain, initially diagnosed with bilateral Sever's disease.
    • Magnetic resonance imaging (MRI) revealed an osteolytic lesion in the calcaneus, with surrounding edema and contrast enhancement, raising suspicion for osteomyelitis.
    • This presentation is unusual as osteomyelitis is not a typical complication of Sever's disease.

    Findings:

    • The patient received six weeks of parenteral antibiotic therapy, leading to clinical improvement.

    Related Experiment Videos

  • Follow-up MRI demonstrated significant regression of the osteolytic lesion, with replacement by granulation tissue and new bone formation.
  • This case highlights a previously unreported complication of Sever's disease: secondary calcaneal osteomyelitis.

    • Implications:

    • Atypical or persistent cases of Sever's disease warrant advanced imaging, such as MRI, to exclude other pathologies like osteomyelitis.
    • Prompt diagnosis and appropriate antibiotic treatment are essential for managing this rare complication.
    • This case expands the differential diagnosis for pediatric heel pain and emphasizes the role of MRI in complex cases.