Osteomyelitis complicating Sever‘s disease: A report of two cases

Kumar, Sunil; Jain, Nimesh; Karpe, Prasad; Limaye, Rajiv

doi:10.1016/j.jcot.2019.08.010

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…A clinical diagnosis can be made by performing a "squeeze test" of the heel [ 12 , 13 ]. In addition, Sever's disease complicated by calcaneal osteomyelitis is a serious condition that can lead to severe complications [ 14 , 15 ].…”

Section: Sever’s Diseasementioning

confidence: 99%

Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography

Liu,

Wang,

2024

Ultrasonography

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Various etiologies and risk factors contribute to foot pain in children and adolescents, including conditions such as Kohler's disease, Sever's disease, Iselin's disease, rigid flat foot, accessory navicular, Freiberg's disease, sesamoiditis, os trigonum syndrome, and more. High-frequency musculoskeletal ultrasonography can show both the bone surface and the surrounding soft tissue clearly from various angles in real-time, thereby providing a higher level of detail that is helpful for identifying the etiology of foot pain and monitoring disease progression compared with other imaging modalities. This review provides an overview of the epidemiology, pathophysiology, clinical manifestations and characteristic ultrasonographic findings of select foot pain conditions in children and adolescents.

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Section: Sever’s Diseasementioning

confidence: 99%

Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography

Liu,

Wang,

2024

Ultrasonography

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“…These include plantar fasciitis, Achilles tendonitis, supernumerary bones, cysts, bone coalitions, fractures (traumatic or stress-induced), hyperdensity in the course of systemic diseases requiring different treatment, etc. [ 3 , 50 , 81 , 82 , 83 , 84 ]. Diagnostic decisions are made more difficult in view of the research observation that X-ray images of children with pain do not differ from those of healthy children and that no typical necrotic lesions were found in the apophysis [ 53 ].…”

Section: Diagnosticsmentioning

confidence: 99%

Characteristics of Pressure on the Apophysis in the Course of Paediatric Heel Pain—Preliminary Report

Bitenc-Jasiejko

Walińska²,

Konior

et al. 2023

IJERPH

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Increased pressure on the heel apophysis is often implicated as a cause of paediatric heel pain. However, there are few reports on the causes of the increased pressure and its origin. Therefore, the aim of this study was to analyse the distribution of pressure on the feet in children with heel pain. The study included 33 paediatric patients with non-traumatic heel pain, i.e., 24 boys (73%) and 9 girls (27%), aged on average 11.2 years (±3 years). Pedobarographic diagnostics proved a decrease in the pressure on the heels in relation to the ground and the transfer of the projection of the centre of gravity to the forefoot. While standing, the average contribution of the pressure on the heel was 0.52, SD = 0.14 in children with normal and reduced weight. In overweight children, the average pressure on the heel was higher (0.60, SD = 0.08), but the small number of children with this characteristic (n = 4) did not allow conclusions to be drawn in this area. Heel underload was also demonstrated during gait. However, the assessment of this aspect requires additional observational analyses in the field of propulsion and gait phases. The reduced pressure on the heel promotes apophysis traction, causing intracanal compression. Studies have shown that the causes of apophysis traction may be postural defects (in particular, forward inclination of body posture) and overpronation of the foot, or defects in the metatarsal area.

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