Incidence of calcaneal apophysitis in the general population

NewsBot · Dec 4, 2013

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Incidence of calcaneal apophysitis in the general population.
Wiegerinck JI, Yntema C, Brouwer HJ, Struijs PA.
Eur J Pediatr. 2013 Dec 3

BACKGROUND:
Calcaneal apophysitis, or Sever's disease, is a traction apophysitis. It is a frequent cause of heel pain in children. Knowledge about the exact incidence of calcaneal apophysitis in the general population, however, is lacking.
DESIGN:
Cross-sectional study.
METHODS:
From 34 general practices, records of patients between 6 and 17 years old, visiting the general practitioner (GP), were analysed. Diagnoses of calcaneal apophysitis were counted using computerised registration networks of GPs in 2008, 2009 and 2010.
RESULTS:
There were 16,383 SOAP files searched and a number of 61 children with calcaneal apophysitis were established over the years 2010, 2009 and 2008, showing an incidence of 3.7 in 1,000 registered patients.
CONCLUSION:
This is the first report on incidence rates of calcaneal apophysitis in general practice. With an incidence of 3.7 in 1,000 registered patients, it is a common pathologic entity, which requires more research on pathophysiology and therapy. The actual incidence may even be higher due the strict inclusion criteria of this study.
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Craig Payne · Dec 4, 2013

NewsBot said: ↑

Incidence of calcaneal apophysitis in the general population.
Wiegerinck JI, Yntema C, Brouwer HJ, Struijs PA.
Eur J Pediatr. 2013 Dec 3
Click to expand...

Someone needs to go back and redo epidemiology 101. That was NOT an incidence study, it was a prevalence study!

Admin2 · Dec 4, 2013

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NewsBot · Jul 29, 2018

Incidence of calcaneal apophysitis in Northwest Istanbul
Ceylan H. H. Email authorView ORCID ID profile and Caypinar B.
BMC Musculoskeletal Disorders201819:267

Background
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.

Methods
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.

Results
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.

Conclusion
Although calcaneal apophysitis is a relatively common paediatric foot problem, due to its benign course and spontaneous healing capacity, most physicians are not interested in this topic. However, increased awareness of this diagnosis is important for reducing the rates of unnecessary radiological examinations and orthopaedic referrals. With increased knowledge, most cases may be diagnosed at the family physician level, which may decrease the economic burden on the health system. Incidence reports from various countries and regions may be published in the future.
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NewsBot · Apr 26, 2021

Describing Frequencies of Lower-Limb Apophyseal Injuries in Children and Adolescents
A Systematic Review
Haines, Mitchell Pirlo, Larissa B Pod; Bowles, Kelly-Ann PhD; Williams, Cylie M. PhD
Clinical Journal of Sport Medicine: April 07, 2021

Objective:
To describe the frequency with which children are affected by lower-limb apophyseal injuries, and subgroups at greater risk.

Design:
Systematic review.

Setting:
N/A.

Participants:
N/A.

Interventions:
N/A.

Main Outcome Measures:
Systematic review of Medline OVID, PsycINFO, Cinahl, and PubMed from inception until February 21st, 2020. Articles reporting prevalence and/or incidence of an apophyseal injury (eg, calcaneal apophysitis) or its eponym (Severs or Sever disease). Per person data relating to the incidence or prevalence. Subgroup comparisons were made between sex groups and between activity participant groups.

Results:
There was wide variation in measurement approaches and follow-up timeframes with the majority of studies reporting on traction apophysitis of the tibial tubercle (Osgood–Schlatter disease). This condition had a point prevalence of 10% in the general population of children between the ages of 12 and 15 years, whereas the lifetime incidence has been reported as 13%. Point prevalence was higher among those who participated in sport compared with those who did not {relative risk [95% confidence interval (CI): 1.98 (1.31-2.99)]}, whereas lifetime incidence was higher among those who participated in sport at the age of 13 years compared with those who did not [relative risk (95% CI): 4.63 (2.31-9.26)]. Other apophyseal injuries did not report enough data to permit comparisons.

Conclusion:
Sports participation is likely to substantially increase the frequency of traction apophysitis of the tibial tubercle. Further research is required with standardized approaches to compare frequencies between different apophyseal injuries and subgroups of interest.
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