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Sever's Disease (Calcaneal Apophysitis).

Denise R Ramponi1, Caron Baker

  • 1School of Nursing and Health Sciences, Robert Morris University, Moon Township, and Emergency Department, Heritage Valley Esmark, Sewickley, Pennsylvania (Dr Ramponi); and Heritage Valley Health System, Sewickley, Pennsylvania (Ms Baker).

Advanced Emergency Nursing Journal
|February 1, 2019
PubMed
Summary
This summary is machine-generated.

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Sever's disease, a common cause of pediatric heel pain, affects athletes aged 8-15. Risk factors include obesity and high activity levels, with treatment focusing on pain management and activity modification.

Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Adolescent Health

Background:

  • Sever's disease, or calcaneal apophysitis, is a leading cause of heel pain in children aged 8-15.
  • It commonly affects pediatric athletes involved in high-impact sports.
  • The condition occurs during puberty due to an open growth plate in the calcaneus.

Purpose of the Study:

  • To summarize the etiology, diagnosis, and treatment of Sever's disease.
  • To highlight key risk factors and diagnostic methods.
  • To outline current management strategies for pediatric heel pain.

Main Methods:

  • Clinical diagnosis confirmed by physical examination (squeeze test).
  • Radiographic imaging showing calcaneal apophysis sclerosis and fragmentation.

Related Experiment Videos

  • Literature review of existing studies on Sever's disease.

    • Main Results:

    • Obesity and high physical activity are primary risk factors.
    • Diagnosis relies on clinical presentation and X-ray findings.
    • Treatment involves conservative measures like ice, activity restriction, stretching, NSAIDs, and heel cups.

    Conclusions:

    • Sever's disease is a self-limiting condition with no known long-term effects.
    • Management focuses on symptom relief and preventing recurrence.
    • Early diagnosis and appropriate treatment are crucial for pediatric athletes.