Often children between the ages of eight and thirteen attend the podiatry clinic with heel pain. One differential diagnosis is calcaneal apophysitis or otherwise known as sever’s disease. Calcaneal apophysitis is the inflammation of a calcaneal growth plate causing pain in the heel posteriorly, it is classified as a non-articular Osteochondrosis at an impact site (O’Gradaigh & Crisp, 2012).
The calcaneus in a child under sixteen years contains a growth plate posteriorly. This is the section where the Achilles tendon inserts on the calcaneus. Around sixteen years of age, the growth plate ossifies onto the calcaneum. Sever’s disease is the disturbance or micro trauma in …show more content…
Diagnosis is determined on history and clinical symptoms (Goel & Watt, 2002). As X-rays will show the growth plate, the ossification pattern of the calcaneal apophysis varies between patients. Therefore x-rays should not be the only diagnostic tool. It is important to discover if there is calcaneal trauma in the medical history. Pain at the Achilles tendon insertion of the calcaneus and the elimination of differential diagnoses such as Achilles tendinosis, stress fractures, tumor, bone fusion and osteomyelitis usually produce a provisional diagnosis of calcaneal apophysis.
The main pain management strategy consists of conservative measures by restricting the child’s physical activity and reducing the tension stress of the tendon Achilles from repetitive trauma. It also depends on the severity of the condition and the willingness for the child to restrict activities. Immediate relief may be achieved through the application of ice, both when painful and after pain has ceased. Compression and elevation can also be incorporated into the acute management strategy.
It is advisable for the affected foot to be assessed for forefoot/ hindfoot malalignment as it may cause added stress to the insertion of the tendon Achilles (Goel & Watt, 2002). Reducing the traction that may be caused by the tight
Ankle Sprains Overview Essay2016 Words | 9 Pages
These ligaments work together and form a division between the anterior and posterior capsules and have been called the “cruciate ligaments” of the subtalar joint. These joints help resist supination and are therefore taught during this movement. The calcaneal fibuluar ligament is important in the prevention of extra inversion along with preventing the calcaneus from internally rotating too much in association with the talus. Pathoanatomy and Mechanisms of Injury: Injury to the ankle most commonly occurs…
Guide to Obeserving Lameness in an Animal921 Words | 4 Pages
laxity than dogs. c. Effusion can be appreciated dorsolateral, dorsomedial, plantarolateral, plantaromedial in one of the four joint pouches. Most easily seen on the dorsal aspect when the joint is extended. d. Don’t forget to assess the common calcaneal tendon for laxity and swelling. The tendon should serve to limit hock flexion to 40 o. 3. Tibia and Fibula: palpate the bony structures and overlying muscles 4. Stifle a. 40 o flexion to 160 o extension b. See fig. 6 for landmarks that should be…
The Physiological Effects of Spaceflight5829 Words | 23 Pages
2. ACCLIMATION DURING FLIGHT 14 2.1 PHYSIOLOGICAL EFFECTS OF SPACE TRAVEL 14 2.2 GENES AND PROTEOMICS 19 3. MICRORGANISMS 19 4.1 TARDIGRADES OVERVIEW 19 4.2 CRYPTOBIOSIS 26 4.3 ENVIRONMENTAL STRESS REDUCTION 27 Works Cited 31 Figure 1 - Calcaneal Mineral Loss during Space Flight (Holick, 1998) 9 Figure 2 - International Space Station Crewmembers Exercising (Moore, Lee, Stenger, & Platts, 2010) 11 Figure 3 - Summary of Physiological Issues Regarding Space (Williams, Kuipers, Mukai, & Thirsk…
An Overview of Anatomy Essay997 Words | 4 Pages
communicate efficiently. Exercise 2: Surface Anatomy A. Review Figure 3. Complete the table by placing each letter from the figure next to its corresponding body landmark. Body Landmark|Letter| Sural|K| Popliteal|| D Tarsal|E| Calcaneal|L| Brachial|F| Cranial|A| Acromial|H| Buccal|| B Axillary|C| Olecrenal|I| Occipital|G| Lumbar|J| B. Mr. Shmelgenbelcher has had a rough day. He woke up with a pain in his cervical region. He fell off his bike and bruised his crural…