Calcaneal apophysitis is a common cause of heel pain in children and is also known as Sever´s disease. 1,2 Rarely causes important disability and is transient in most of the times, but it can interfere with walking and physical performance in sports, causing concern to the patient and parents. 1 It is the most common cause of heel pain in the physically active growing children-8-25 years-old-and is considered a benign, self-limiting condition of childhood and adolescence. 2-4 Boys constitute two-thirds of the patients and the sport that tends to dominate is soccer. 5 Sever´s disease is a chronic (repetitive) injury to the actively remodeling trabecular metaphysical bone that results in a variably sized stress injury with concomitant trabecular micro failure, hemorrhage, and edema, which is evident on MRI. 4 Case presentation 8 years-old boy with pain in the heel of both feet for three months. The pain started when they started to play basketball. Deny traumas and surgeries. Indicates pain at local palpation and walking. MRI demonstrated irregularity of calcaneal apophysis with important edema, corresponding to Sever's disease, with discrete edema of surrounding subcutaneous tissue, in both feet (Figure 1) (Figure 2).
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