Heel Pain in a Young Adolescent Baseball Player

Leri, Jeffrey P.

doi:10.1016/s0899-3467(07)60088-3

Cited by 8 publications

(14 citation statements)

References 5 publications

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“…The medial-lateral squeeze test may be helpful for clinical diagnosis. The symptoms are exacerbated by sports that require extreme physical activity [ 1 , 5 – 7 , 11 , 13 , 15 , 16 ]. Although the symptoms are usually associated with physical activity, resting pain can also be observed in advanced cases.…”

Section: Introductionmentioning

confidence: 99%

“…Calcaneal apophysitis tends to occur between the ages of 8 and 13 years in girls and between the ages of 11 and 15 years in boys [ 7 ]. Its incidence among all musculoskeletal injuries has been reported to be between 2 and 16%, [ 1 ] but is believed to be even higher in the active paediatric population [ 1 , 5 – 7 , 11 , 15 , 16 ]. Calcaneal apophysitis has a benign course, and treatment is conservative.…”

Section: Introductionmentioning

confidence: 99%

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Incidence of calcaneal apophysitis in Northwest Istanbul

Ceylan

Çaypınar

2018

BMC Musculoskelet Disord

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BackgroundCalcaneal apophysitis is a common clinical entity affecting children and adolescents. It is also known as Sever’s disease. Heel pain without a recent trauma is the primary manifestation. There are limited studies on the incidence of this disease. In this study, we aimed to report the regional incidence in Istanbul.MethodsThis retrospective audit of health records of all paediatric patients aged 6–17 years between January 1, 2014, and December 15, 2017 was undertaken. During this period, data were extracted from health records that recorded calcaneal apophysitis as the primary diagnosis.ResultsThe 4-year incidence of calcaneal apophysitis was found to be 0.35% (74 of 20,967 paediatric patients). It commonly affected males, and bilateral cases were more common than unilateral cases. There were more admissions during the spring season, which may indicate a possible association with physical activity.ConclusionAlthough calcaneal apophysitis is a relatively common paediatric foot problem, due to its benign course and spontaneous healing capacity, most physicians are not interested in this topic. However, increased awareness of this diagnosis is important for reducing the rates of unnecessary radiological examinations and orthopaedic referrals. With increased knowledge, most cases may be diagnosed at the family physician level, which may decrease the economic burden on the health system. Incidence reports from various countries and regions may be published in the future.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence of calcaneal apophysitis in Northwest Istanbul

Ceylan

Çaypınar

2018

BMC Musculoskelet Disord

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“…These included, modified rest or cessation of sport [41,43], pharmaceuticals [44] and/or ice [41,43,44]. …”

Section: Resultsmentioning

confidence: 99%

“…These included the use of heel raises [17,38,39,41,44], taping/padding [42,45], orthoses [17,38-41], and stretching of the gastrocnemius / soleus / achilles tendon complex [17,41,43,44]. …”

Section: Resultsmentioning

confidence: 99%

Effectiveness of interventions in reducing pain and maintaining physical activity in children and adolescents with calcaneal apophysitis (Sever's disease): a systematic review

James

Williams

Haines

2013

Journal of Foot and Ankle Research

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BackgroundCalcaneal apophysitis, also commonly known as sever’s disease, is a condition seen in children usually aged between 8–15 years. Conservative therapies, such as taping, heel lifts and orthotic intervention are accepted management practices for calcaneal apophysitis, though there is very little high quality research examining the efficacy of such treatment modalities. Previous narrative literature reviews and opinion pieces provide some evidence for the use of heel raises or orthoses. The aim of this manuscript was to complete a systemic review on the treatment options for calcaneal apophysitis as measured by pain reduction and maintenance of physical activity.MethodsA search strategy completed by two reviewers examined nine databases from inception to May 2012. Search terms included heel pain, children, adolescent, calcaneal apophysitis, sever’s disease, treatment, and management (full text publications, human studies). Systematic reviews, randomised control trials, case series, and case studies were included. The reference lists of the selected articles were also examined. The methodology, quality and risk of bias was examined and assessed using the PEDro scale.ResultsNine articles were retrieved including three clinical trials involving randomisation, two case series, two retrospective case reviews, and two case reports. Effect size calculations and a meta analysis were unable to be completed due to the limited data reported within the literature. Numerous treatment options were reported throughout the literature, though few were examined against a control or alternate treatment option in well-designed trials. The limited evidence indicated that orthoses provided greater short-term pain relief than heel raises. Health practitioners should view these results with caution, as there were apparent methodological problems with the employed study design and limited follow-up of participants.ConclusionThere is limited evidence to support the use of heel raises and orthoses for children who have heel pain related to calcaneal apophysitis. Further research is needed to generate higher quality evidence with larger sample sizes, and validated measures of pain and function to establish effective treatment approaches for children with calcaneal apophysitis.

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“…Objective relief of pain, increased ROM, and negative orthopedic tests with 7 visits over 8 wk Leri 64 Calcaneal apophysitis (Sever's disease)…”

Section: Methodsmentioning

confidence: 99%