Presentation
Posterior heel pain during soccer practice. No trauma history.
Patient Data
Age: 10 years
Gender: Male
From the case:
Calcaneal apophysitis (Sever's disease)
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Fragmentation and increase in the density of the calcaneal apophysis on the right.
Left calcaneus also showing fragmentation.
Case Discussion
Calcaneal apophysitis, also known as Sever´s disease, is the primary cause of heel pain in pediatric patients between the ages of 8 and 15 years. Primary risk factors in pediatric athletes are obesity and high levels of physical activity. Sever's injury primarily results from high-impact sports 1.
Patients affected by Sever disease usually report pain resolution during periods of rest or when the growth plate fully closes 2.
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