Prevention and Management of Calcaneal Apophysitis in ChildrenAn Overuse Syndrome
作者:
Lyle Micheli,
M. Ireland,
期刊:
Journal of Pediatric Orthopaedics
(OVID Available online 1987)
卷期:
Volume 7,
issue 1
页码: 34-38
ISSN:0271-6798
年代: 1987
出版商: OVID
关键词: Athletic activity;Calcaneal apophysitis;Heel pain;Overuse syndrome;Physical therapy;Sever disease.
数据来源: OVID
摘要:
Calcaneal apophysitis (Sever disease) is a common cause of heel pain, particularly in the athletically active child. Eighty-five children (137 heels) with calcaneal apophysitis were reviewed. Both heels were affected in 52 (61%) patients. The most common associated foot condition was pronation, occurring in 16 patients. Sixty-eight patients complained that pain was made worse by a specific sport, with soccer leading the list. All patients were treated with a physical therapy program of lower extremity stretching, especially of the heel cords, and ankle dorsiflexion strengthening. Soft Plastizote orthotics or heel cups were used in 98% of patients. Proper athletic shoewear was advised. All patients improved and were able to return to their sport of choice 2 months after the diagnosis. There were two recurrences.
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