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synonyms: Sever’s Disease, Calcaneal apohphysitis
Sever's Disease ICD-10
- M92.60 - Juvenile osteochondrosis of tarsus, unspecified ankle
- M92.61 - Juvenile osteochondrosis of tarsus, right ankle
- M92.62 - Juvenile osteochondrosis of tarsus, left ankle
Sever's Disease ICD-9
- 732.5 Calcaneal apohphysitis
Sever's Disease Etiology / Epidemiology / Natural History
- Apophysitis at the calcaneal insertion of the Achilles tendon.
- Generally boys age 12 or girls age 11. Related to adolescent growth spurt with weak ankle dorsiflexion and tight gastrocsoleus complex.
- May be overuse injury caused by repetitive microtrauma to the trabecular metaphyseal bone. (Ogden JA, JPO 2004;24:488).
Sever's Disease Anatomy
Sever's Disease Clinical Evaluation
- Heel pain exacerbated by activity, especially running.
- Pain increased with compression of the calcaneous
Sever's Disease Xray / Diagnositc Tests
- A/P and lateral calcaneous: may be normal or demonstrate fragmentation of the calcaneal apophysis. (Volpon JB, Arch Orthop Trauma Surg 2002;122:338)
Sever's Disease Classification / Treatment
- Plantar flexion stretching, dorsiflexor strengthening, foot orthosis vs heel lifts.
- Consider cast immobilization in recalcitrant cases.
Sever's Disease Associated Injuries / Differential Diagnosis
Sever's Disease Complications
Sever's Disease Follow-up Care
Sever's Disease Review References
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