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Should we x-ray for Sever's Disease?

Discussion in 'Pediatrics' started by NewsBot, Aug 14, 2009.

  1. NewsBot

    NewsBot The Admin that posts the news.

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    Do we really need radiographic assessment for the diagnosis of non-specific heel pain (calcaneal apophysitis) in children?
    Kose O.
    Skeletal Radiol. 2009 Aug 12. [Epub ahead of print]
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. Teash13

    Teash13 Member

    I have not yet xrayed anyone for a Severs diagnosis. I don't think it is neccesary if you get positive squeeze tests and heel raise tests. Why would you subject kids to radiation that is not really needed or beneficial to the diagnosis.
     
  4. Ella Hurrell

    Ella Hurrell Active Member

    I agree - Severs is a clinical diagnosis for me, based on history and clinical tests. I have never requested x-ray unless Severs is not the likely cause. I had one patient who appeared to have Severs but the history just didn't fit. MRI showed Bone Marrow Oedema and he was diagnosed with Juvenille Arthritis.
     
  5. On the initial presentation of Sever's disease, I will not perform routine radiographs. However, if the patient does not respond appropriately to normal conservative treatment (i.e. heel lifts, reduced running, icing, gradual Achilles tendon stretching, and no barefoot walking) then I believe it is important to rule out other causes of heel pain with radiographs of the feet.
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Can we make a diagnosis with radiographic examination alone in calcaneal apophysitis (Sever's disease)?
    Kose O, Celiktas M, Yigit S, Kisin B.
    J Pediatr Orthop B. 2010 Apr 29. [Epub ahead of print]
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Is radiographic evaluation necessary in children with a clinical diagnosis of calcaneal apophysitis (sever disease)?
    Rachel JN, Williams JB, Sawyer JR, Warner WC, Kelly DM.
    J Pediatr Orthop. 2011 Jul-Aug;31(5):548-50.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Sever’s Injury
    A Clinical Diagnosis
    Stefan Perhamre, Dagmara Lazowska, Sofia Papageorgiou, Fredrik Lundin, Maria Klässbo and Rolf Norlin
    J Am Podiatr Med Assoc 103(5): 361–368, 2013
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    MRI findings of a case with bilateral calcaneal apophysitis
    Berat Acu, Taylan Kara, Safiye Topaloğlu Aşçı, Ayşegül Altunkaş.
    J Contemp Med. 2014; 4(Supplement Case Reports): CR-29-CR-31
     
  10. Craig Payne

    Craig Payne Moderator

    Articles:
    7
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Normal skeletal development and imaging pitfalls of the calcaneal apophysis: MRI features.
    Rossi I et al
    Skeletal Radiol. 2016 Jan 9
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Calcaneal Apophysitis (Sever’s Disease): MRI Findings
    Dogan MS et al
    J. Nepal Paediatr. Soc. (Full text)
     
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