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Calcaneal Apophysitis

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1. Assessment of the kinesiotherapy's efficacy in male athletes with calcaneal apophysitis. (PubMed)

Assessment of the kinesiotherapy's efficacy in male athletes with calcaneal apophysitis. The aim of the present study was to assess the efficacy of kinesiotherapy used for treating various disorders in athletes on pain and pedal functions in patients with calcaneal apophysitis.This prospective randomized controlled study included 22 patients with calcaneal apophysitis aged 8 to 16 years presenting with heel pain among junior athletes of a professional football club. The patients were randomly (...) for the kinesio-tape group and 97.4 ± 3.9 for the sham-tape group. Posttreatment VAS score was 0.1 ± 0.3 for the kinesio-tape group and 0.4 ± 0.5 for the sham-tape group (p > 0.05).Conservative treatment modalities are preferentially used for its treatment. Kinesiotherapy is one of the treatment methods for the apophysitis. In the literature, our study is the first prospective randomized trial on the efficacy of kinesio taping in calcaneal apophysitis.Although kinesio taping can be effectively used

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2018 Journal of orthopaedic surgery and research

2. Foot Mobility Magnitude and Stiffness in Children With and Without Calcaneal Apophysitis. (PubMed)

Foot Mobility Magnitude and Stiffness in Children With and Without Calcaneal Apophysitis. This study evaluated quasi-static measures of foot mobility magnitude (FMM) and foot stiffness (FS) in children, aged 8 to 14 years, with and without calcaneal apophysitis.Between 2016 and 2017, FMM and FS measurements were captured on 41 children (22 cases and 19 controls) using a custom-built foot assessment platform. The platform incorporated a portable force plate that allowed quantification (...) of vertical force during double-limb stance (DLS).There was no significant difference in FS in children with and without calcaneal apophysitis ( P = .459). FMM was significantly greater (+19%) in children with calcaneal apophysitis than in those without ( P = .045). The mean difference in FMM between groups (1.4 mm), however, did not exceed the minimum detectable change at the 95% confidence level (MDC95%) for the measurement (±2.5 mm).Differences in FMM in children with calcaneal apophysitis were small

2018 Foot & Ankle International

3. Incidence of calcaneal apophysitis in Northwest Istanbul. (PubMed)

Incidence of calcaneal apophysitis in Northwest Istanbul. Calcaneal 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.This 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.The 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.Although calcaneal apophysitis

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2018 BMC Musculoskeletal Disorders

4. Calcaneal Apophysitis

Calcaneal Apophysitis Calcaneal Apophysitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Calcaneal Apophysitis Calcaneal (...) Apophysitis Aka: Calcaneal Apophysitis , Sever's Disease , Sever Disease , Calcaneoapophysitis , Apophysitis of the Achilles Tendon From Related Chapters II. Epidemiology Occurs most commonly in boys, ages 8 to 14 years Associated with or jumping sports (esp. early season or at times of growth spurt) Basketball Soccer Track III. Definition Low grade inflammation at achilles tendon insertion Associated with irregular ossification Sclerosis of calcaneal apophysis Images IV. Mechanism Traction injury V

2018 FP Notebook

5. Health related quality of life of children with calcaneal apophysitis: child & parent perceptions. (PubMed)

Health related quality of life of children with calcaneal apophysitis: child & parent perceptions. Children with a clinical diagnosis of calcaneal apophysitis reportedly experience impaired physical ability. Patient reported outcome assessments measure the level of conditional specific interference in everyday life. The aim of this study was to assess and compare the child and parent perceptions of health related quality of life (QOL) associated with calcaneal apophysitis.This is a longitudinal (...) repeated measure study nested within a randomized comparative effectiveness trial. Children who had symptoms of calcaneal apophysitis were recruited from local advertising and from the caseload of podiatrists within the health setting (Australia). The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) was completed at baseline, 1, 2, 6 and 12 month time points by both child and parent.A total of 133 children were recruited and 124 participated in the study with 101 completing the OxAFQ-C at all

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2016 Health and quality of life outcomes

6. Calcaneal Apophysitis: Sever's Disease

Calcaneal Apophysitis: Sever's Disease Calcaneal Apophysitis: Sever's Disease - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Calcaneal Apophysitis: Sever's Disease Calcaneal Apophysitis: Sever's Disease Calcaneal Apophysitis: Sever's Disease Reviewed by Sumer Sethi on Wednesday, November 09, 2016 Rating: 5 Tags : Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology

2016 Sumer's Radiology Blog

7. Effectiveness of footwear and foot orthoses for calcaneal apophysitis: a 12-month factorial randomised trial. (PubMed)

Effectiveness of footwear and foot orthoses for calcaneal apophysitis: a 12-month factorial randomised trial. Calcaneal apophysitis, is a relatively common cause of heel pain in children. Very few randomised studies have evaluated treatment options. This trial compared the effectiveness of currently employed treatment options for the relief of pain and disability associated with calcaneal apophysitis.Factorial 2×2 randomised comparative effectiveness trial with 1, 2, 6 and 12-month follow (...) -up.Participants were recruited from the caseload of podiatrists at Monash health and Peninsula Health.Children aged 8-14 years with clinically diagnosed calcaneal apophysitis.Treatment factor 1: two different types of in-shoe orthoses: a heel raise or prefabricated orthoses. Treatment factor 2: footwear replacement or no footwear replacement.Our primary outcome was functional disability, the secondary outcomes were pain and ankle dorsiflexion range.A total of 133 children and their parents responded

2016 British Journal of Sports Medicine

8. Relationship of calcaneal and iliac apophyseal ossification to peak height velocity timing in children. (PubMed)

Relationship of calcaneal and iliac apophyseal ossification to peak height velocity timing in children. Ossification of the calcaneal apophysis has never been fully characterized. We examined the ossification sequence of the calcaneus in relation to ossification of the iliac apophysis and the timing of the peak height velocity (PHV).Ninety-four healthy children (forty-nine girls and forty-five boys), from three to eighteen years old, were followed longitudinally through growth with annual (...) serial radiographs and physical examinations. These were done at least annually from ten to fifteen years of age. The PHV was calculated using the height measurements of each child. We measured and compared calcaneal and iliac crest apophyseal ossification using foot and pelvic radiographs made on the same day. We correlated the PHV with the degree of calcaneal and iliac ossification.Ossification of the calcaneal apophysis occurred in an orderly fashion, with the ossification center first appearing

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2015 The Journal of Bone and Joint Surgery. American Volume

9. Treatment of Calcaneal Apophysitis: Wait and See Versus Orthotic Device Versus Physical Therapy: A Pragmatic Therapeutic Randomized Clinical Trial. (PubMed)

Treatment of Calcaneal Apophysitis: Wait and See Versus Orthotic Device Versus Physical Therapy: A Pragmatic Therapeutic Randomized Clinical Trial. Calcaneal apophysitis is a frequent cause of heel pain in children and is known to have a significant negative effect on the quality of life in affected children. The most effective treatment is currently unknown. The purpose of this study is to evaluate 3 frequently used conventional treatment modalities for calcaneal apophysitis.Three treatment (...) modalities were evaluated and compared in a prospective randomized single-blind setting: a pragmatic wait and see protocol versus a heel raise inlay (ViscoHeel; Bauerfeind) versus an eccentric exercise regime under physiotherapeutic supervision. Treatment duration was 10 weeks.age between 8 and 15 years old, at least 4 weeks of heel pain complaints due to calcaneal apophysitis based, with a minimal Faces Pain Scale-Revised of 3 points. Primary exclusion criteria included other causes of heel pain

2015 Journal of pediatric orthopedics

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

"Effectiveness of interventions in reducing pain and maintaining physical activity in children and adolescents with calcaneal apophysitis (Sever's disease): a systematic review". Calcaneal 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.A search strategy completed by two reviewers examined nine databases from inception to May 2012. Search terms included heel pain, children, adolescent

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2013 Journal of foot and ankle research

11. Ossification of the phalanges of the foot and its relationship to peak height velocity and the calcaneal system (PubMed)

phalanges to peak height velocity (PHV) and the recently described calcaneal apophyseal ossification grading system.We selected 94 children from the Bolton-Brush study, each with consecutive radiographs from age ten to 15 years old. Using the anteroposterior view, we analyzed the ossification patterns of the phalanges and developed a six-stage system. We then determined the PHV for each subject and defined its relationship with our system. Our system was then compared with the previously established (...) Ossification of the phalanges of the foot and its relationship to peak height velocity and the calcaneal system There are multiple skeletal maturity grading systems, but none of them utilizes the phalanges of the foot. To minimize radiation, it would be ideal if one could assess the skeletal maturity of a foot based on bones seen on routine foot radiographs, if guided growth is being considered as a treatment option. We developed a system that correlates changes of the appearance of the foot

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2018 Journal of children's orthopaedics

12. Calcaneal Apophysitis

Calcaneal Apophysitis Calcaneal Apophysitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Calcaneal Apophysitis Calcaneal (...) Apophysitis Aka: Calcaneal Apophysitis , Sever's Disease , Sever Disease , Calcaneoapophysitis , Apophysitis of the Achilles Tendon From Related Chapters II. Epidemiology Occurs most commonly in boys, ages 8 to 14 years Associated with or jumping sports (esp. early season or at times of growth spurt) Basketball Soccer Track III. Definition Low grade inflammation at achilles tendon insertion Associated with irregular ossification Sclerosis of calcaneal apophysis Images IV. Mechanism Traction injury V

2015 FP Notebook

13. Heel raises versus prefabricated orthoses in the treatment of posterior heel pain associated with calcaneal apophysitis (Sever's Disease): a randomised control trial. (PubMed)

Heel raises versus prefabricated orthoses in the treatment of posterior heel pain associated with calcaneal apophysitis (Sever's Disease): a randomised control trial. Posterior Heel pain can present in children of 8 to 14 years, associated with or clinically diagnosed as Sever's disease, or calcaneal apophysitis. Presently, there are no comparative randomised studies evaluating treatment options for posterior heel pain in children with the clinical diagnosis of calcaneal apophysitis or Sever's (...) disease. This study seeks to compare the clinical efficacy of some currently employed treatment options for the relief of disability and pain associated with posterior heel pain in children.Factorial 2 x 2 randomised controlled trial with monthly follow-up for 3 months.Children with clinically diagnosed posterior heel pain possibly associated with calcaneal apophysitis/Sever's disease (n = 124).Treatment factor 1 will be two types of shoe orthoses: a heel raise or prefabricated orthoses. Both

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2010 Journal of foot and ankle research

14. Slow velocity of the center of pressure and high heel pressures may increase the risk of Sever's disease: a case-control study. (PubMed)

Slow velocity of the center of pressure and high heel pressures may increase the risk of Sever's disease: a case-control study. This study determined if the body mass index, dynamic plantar-pressures, plantar surface contact-area, velocity of the centre of pressure (COP), gastrocnemius equinus, and gastrocnemius soleus equines are related to calcaneal apophysitis (Sever's disease) in athletic children.This case-control study examined 106 boys enrolled in a soccer academy, including 53

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2018 BMC Pediatrics

15. Comparison of Braces for Treatment of Sever's Disease

information, Layout table for eligibility information Ages Eligible for Study: 8 Years to 14 Years (Child) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Age 8-14 years Participate in barefoot sports including: martial arts, dance, gymnastics, or acrobatics Clinical diagnosis of Sever's or calcaneal apophysitis Exclusion Criteria: History of foot/ankle surgery History of rheumatologic diagnoses Prisoners, pregnant females, Individuals with limited decision

2018 Clinical Trials

16. Achilles tendinopathy

on forced plantar flexion when jumping or kicking. Ankle osteoarthritis. Tendon xanthoma — associated with severe hypercholesterolemia and can appear as nodules related to the Achilles tendon. Haglund's deformity — a posterolateral calcaneal prominence (sometimes called a 'pump bump') which can become inflamed. Os trigonum syndrome — a floating bone just behind the ankle joint. Calcaneal apophysitis — Sever's disease of adolescents. Calcaneal stress fracture. Irritation or neuroma of the sural nerve

2016 NICE Clinical Knowledge Summaries

17. Tendon transfer to unossified bone in a porcine model: potential implications for early tibialis anterior tendon transfers in children with clubfeet (PubMed)

development.Twenty-five piglets underwent one of five surgical procedures. An 18-gauge needle was then used to place a tunnel through the bony or cartilaginous portion of the calcaneus (through direct visualization) and isolated slips of the flexor digitorum superficialis (FDS) were placed through the tunnels, as determined by surgical procedure. Radiographic and/or histologic evaluations of the calcaneal apophyses were then performed. A discrete (1-4) and dichotomous "Normal" or "Abnormal" scoring system (...) was developed and its reliability assessed to grade the appearance of the calcanei. Calcaneal appearances following the surgical procedures were then compared with controls. The average load to failure of a subset of transferred tendons was then compared using an MTS machine.The proposed apophyseal grading system (1-4) demonstrated an intraclass correlational coefficient (ICC) for consistency of 0.92 [95% confidence interval (CI) 0.88 < ICC < 0.95] and ICC for agreement of 0.91 (95% CI 0.86 < ICC < 0.95

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2016 Journal of children's orthopaedics

18. Acute childhood limp

. and Jandial,S. ( 2013 ) PGALS - paediatric Gait Arms Legs and Spine: a simple examination of the musculoskeletal system. Pediatric rheumatology 11 ( 1 ), 44 . [ ] Gholve,P.A., Scher,D.M., Khakharia,S., et al. ( 2007 ) Osgood Schlatter syndrome. Current Opinion in Pediatrics. 19 ( 1 ), 44 - 50 . [ ] Harrison,W., Vooght,A., Singhal,R., et al. ( 2014 ) The epidemiology of transient synovitis in Liverpool, UK. Journal of Children's Orthopaedics. 8 ( 1 ), 23 - 28 . [ ] Hendrix,C. ( 2005 ) Calcaneal apophysitis (...) that persists for longer than 6 weeks and has no known cause. Systemic symptoms of lethargy and anorexia may be present. Often children with JIA are otherwise well and blood tests and X-rays may be normal. Be aware that there is a high risk of uveitis in children with JIA and this may be asymptomatic initially. If undiagnosed and untreated, uveitis can lead to loss of vision. [ ] Sever's disease Sever's disease Sever's disease or apophysitis of the calcaneus produces heel pain as a result of inflammation

2015 NICE Clinical Knowledge Summaries

19. Static and dynamic plantar pressures in children with and without sever disease: a case-control study. (PubMed)

Static and dynamic plantar pressures in children with and without sever disease: a case-control study. Calcaneal apophysitis (Sever disease) has been reported to be the most common cause of heel pain in athletic children.The study aim was to compare plantar pressure, plantar surface contact area, distribution of body weight across the lower extremities, and prevalence of gastrocnemius ankle equinus and gastrocnemius-soleus ankle equinus (which can cause decreases in ankle dorsiflexion range

2014 Physical therapy

20. Athletic Foot Injuries (Follow-up)

):1535-6. . . Stiell IG, Greenberg GH, McKnight RD, et al. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. JAMA . 1993 Mar 3. 269(9):1127-32. . Rachel JN, Williams JB, Sawyer JR, Warner WC, Kelly DM. Is radiographic evaluation necessary in children with a clinical diagnosis of calcaneal apophysitis (sever disease)?. J Pediatr Orthop . 2011 Jul-Aug. 31 (5):548-50. . Smith K, Waldrop N. Operative Outcomes of Grade 3 Turf Toe Injuries (...) . Lisfranc dislocations: fractures and/or dislocations through the tarso-metatarsal joints. Injury . 1984 Jan. 15(4):261-6. . Lenczner EM, Waddell JP, Graham JD. Tarsal-metatarsal (Lisfranc) dislocation. J Trauma . 1974 Dec. 14(12):1012-20. . Germann CA, Perron AD, Miller MD, Powell SM, Brady WJ. Orthopedic pitfalls in the ED: calcaneal fractures. Am J Emerg Med . 2004 Nov. 22(7):607-11. . Griffin D, Parsons N, Shaw E, Kulikov Y, Hutchinson C, Thorogood M, et al. Operative versus non-operative treatment

2014 eMedicine.com

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