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Diagnosing and treating Sever's disease in children
1Our Lady's Children's Hospital, Dublin.
Summary
Sever
Area of Science:
- Pediatric Orthopedics
- Sports Medicine
- Pediatric Emergency Medicine
Background:
- Posterior heel pain is a frequent complaint in pediatric emergency departments, particularly following growth spurts.
- Sever's disease, or calcaneal apophysitis, is a primary cause, stemming from Achilles tendon traction on the calcaneal apophysis.
- This condition affects active children and adolescents, impacting their mobility and participation in activities.
Purpose of the Study:
- To conduct a comprehensive literature review on Sever's disease.
- To elucidate the etiology, diagnostic approaches, and current management strategies for calcaneal apophysitis.
- To provide a consolidated resource for healthcare professionals managing this common pediatric condition.
Main Methods:
- Systematic review of existing medical literature.
- Analysis of studies focusing on the pathophysiology of Sever's disease.
- Synthesis of diagnostic criteria and treatment outcomes from various research papers.
Main Results:
- Sever's disease results from repetitive stress on the calcaneal growth plate during periods of rapid growth.
- Diagnosis is primarily clinical, supported by characteristic symptoms and physical examination findings.
- Management typically involves conservative measures such as activity modification, stretching, and supportive footwear.
Conclusions:
- Sever's disease is a self-limiting condition that requires conservative management.
- Early diagnosis and appropriate intervention can alleviate pain and prevent long-term complications.
- Further research could explore optimal treatment protocols and long-term outcomes.
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