Chronic bilateral heel pain in a child with Sever disease: case report and review of literature

Abstract

We are presenting a case report of a 10-year-old male with a 1 year history of bilateral heel pain. Sever disease is self limiting condition of calcaneal apophysis. It is the most common cause of heel pain in the growing child. There is no documented case of this condition in this region. This case highlights the clinical features of this self limiting disorder as seen in this patient and reviews the current literature.

Calcaneal Apophysitis (Sever's Disease): MRI Findings

“…During the clinical evalua on, foot radiographs are generally obtained for excluding other pathologies 6 . Although fragmenta on and increased density of the calcaneal apophysis observed in radiographs are defi ned as radiographic fi ndings of Sever's disease, these fi ndings are not pathognomonic for the diagnosis and can be also seen in healthy children 1,2,4,5 . MRI is another useful imaging modality which can be implemented in exclusion of other causes of heel pain par cularly in doub ul cases 5,6,7 .…”

“…C alcaneal apophysi s (Sever's disease), is the most frequent cause of the heel pain in physically ac ve growing children 1,2,3,4,5 . The diagnosis of Sever's disease is generally made with the typical history of posterior heel pain that exacerbates with physical ac vity and clinical examina on fi ndings of no or mild swelling without any local skin manifesta ons like eryhtema or edema 1,2,3 .…”

“…The diagnosis of Sever's disease is generally made with the typical history of posterior heel pain that exacerbates with physical ac vity and clinical examina on fi ndings of no or mild swelling without any local skin manifesta ons like eryhtema or edema 1,2,3 . Although the requirement of using radiological methods for the diagnosis of Sever's disease is controversial, foot radiographs are used to be obtained as a part of the rou ne clinical evalua on 1,4,5 .…”