Apophysitis calcanei

Calcaneal

apophysitis • Sever disease - Ganzer Fall bei Radiopaedia

Schubert R, Sever disease. Case study, Radiopaedia.org (Accessed on 23 Jan 2023) https://doi.org/10.53347/rID-14139 • CC by-nc-sa 3.0 (modified)

Calcaneal

apophysitis • Sever disease - Ganzer Fall bei Radiopaedia

Thapa S, Sever disease. Case study, Radiopaedia.org (Accessed on 23 Jan 2023) https://doi.org/10.53347/rID-56845 • CC by-nc-sa 3.0 (modified)

Calcaneal

apophysitis • Calcaneal apophysitis - Sever disease - Ganzer Fall bei Radiopaedia

Noronha P, Calcaneal apophysitis - Sever disease. Case study, Radiopaedia.org (Accessed on 23 Jan 2023) https://doi.org/10.53347/rID-63302 • CC by-nc-sa 3.0 (modified)

Calcaneal

apophysitis • Sever disease - Ganzer Fall bei Radiopaedia

Brand D, Sever disease. Case study, Radiopaedia.org (Accessed on 23 Jan 2023) https://doi.org/10.53347/rID-60324 • CC by-nc-sa 3.0 (modified)

Calcaneal

apophysitis • Sever disease (calcaneal apophysitis) - Ganzer Fall bei Radiopaedia

Nicoletti D, Sever disease (calcaneal apophysitis). Case study, Radiopaedia.org (Accessed on 03 Jun 2023) https://doi.org/10.53347/rID-165100 • CC by-nc-sa 3.0 (modified)

Calcaneal

apophysitis • Sever disease (calcaneal apophysitis) - Ganzer Fall bei Radiopaedia

Ranchod A, Sever disease (calcaneal apophysitis). Case study, Radiopaedia.org (Accessed on 03 Jun 2023) https://doi.org/10.53347/rID-168346 • CC by-nc-sa 3.0 (modified)

The co-

existence of the innocent and the guilty: Sever"s apophysitis and Eosinophilic Granuloma.. Bone scintigraphy show increased radionuclide uptake of the right calcaneus (curved arrow).

www.eurorad.org • CC by-nc-sa-4.0

The co-

existence of the innocent and the guilty: Sever"s apophysitis and Eosinophilic Granuloma.. Sagittal STIR (a) and T1 (b) weighted-images show fragmentation and bone edema of the secondary ossification core (arrows).

www.eurorad.org • CC by-nc-sa-4.0

The co-

existence of the innocent and the guilty: Sever"s apophysitis and Eosinophilic Granuloma.. Sagittal T1-weighted fat-suppressed images before (a) and after contrast administration (b) show mild enhancement in the area of bone edema of the secondary ossification core (arrows).

www.eurorad.org • CC by-nc-sa-4.0

X-ray of the

foot of a 11 year old male, showing sclerosis and fragmentation of the calcaneal apophysis. This is a sign of low sensitivity and specificity of Sever"s disease, because those with Sever"s disease may not have it, and it is commonly also present in feet without any symptoms. Mark A Noffsinger (2016-09-07). Calcaneal Apophysitis (Sever Disease) Workup. Medscape. Retrieved on 2017-01-19. Diagnosis was rather made by the patient"s typical symptoms of pain in the heel at exercise.

Wikipedia • CC0

Hier werden Begriffe / Krankheitsbilder genannt, die ähnlich sind oder klingen, aber nicht das Gleiche sind.

nicht verwechseln mit: Knochenkerne Kalkaneusapophyse

Radiopaedia • CC-by-nc-sa 3.0 • de

Calcaneal apophysitis, also known as Sever disease, is the painful inflammation of the apophysis of the calcaneus.

Epidemiology

It typically presents in active young children and adolescents, especially those who enjoy jumping and running sports.

Associations

High plantar foot pressures are associated with Sever disease, although it is unclear whether they are a predisposing factor or a result of the condition. Gastrocnemius equinus may be a predisposing factor for Sever disease .

Clinical presentation

Patients tend to present with posterior heel pain, usually aggravated by physical activity such as walking, running, or jumping.

Pathology

The condition is thought to result from repetitive microtrauma to growth plates of the calcaneus. However, some of the recent literature states that there is a lack of evidence that weight and activity levels are risk factors for Sever disease .

Radiographic features

Sever disease is most often diagnosed clinically, and radiographic evaluation is believed to be unnecessary by many physicians, but if a diagnosis of calcaneal apophysitis is made without obtaining radiographs, a lesion requiring more aggressive treatment could be missed .