Possible association between Sever's disease and attention deficit hyperactivity disorder. a prospective...

Area of Science:

• Pediatric Orthopedics
• Child Psychiatry
• Developmental Pediatrics

Background:

• Sever's disease is a frequent cause of pediatric foot pain with debated etiology.
• This study investigates the potential link between Sever's disease and attention deficit hyperactivity disorder (ADHD).

Purpose of the Study:

• To prospectively examine the relationship between Sever's disease and ADHD in children.
• To determine if ADHD is more prevalent in children with Sever's disease compared to a control group.

Main Methods:

• A prospective study conducted over one year (2023-2024).
• 88 children diagnosed with Sever's disease and 90 healthy children were evaluated for ADHD using DSM-4 criteria.
• Evaluation was performed by a pediatric psychiatrist.

Main Results:

• The prevalence of ADHD was significantly higher in the Sever's disease group (70.5%) compared to the control group (13.3%) (p < 0.01).
• ADHD was more common in Sever's disease patients not involved in sports (p < 0.01).
• ADHD diagnosis was statistically more significant in boys with Sever's disease than in girls (p < 0.018).

Conclusions:

• Children diagnosed with Sever's disease may have a higher likelihood of also having ADHD.
• Screening for ADHD is recommended for children with Sever's disease, especially males, to ensure comprehensive care.