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Colegio de Medicos y Cirujanos República de Costa Rica

2016, Number 619

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Rev Med Cos Cen 2016; 73 (619)

Síndrome de talón doloroso, enfermedad de sever: Presentación clínica, hallazgos de imágenes y manejo del dolor en niños y jóvenes atletas

Espinosa LEA, Espinosa HEA

Language: Spanish
References: 10
Page: 383-387
PDF size: 452.57 Kb.


ABSTRACT

Heel pain in the young athlete can originate from different structures, in the bones (fractures), apophysis, muscles and tendons, nerves or fasciae, the calcaneal apophysitis or severs disease is one of the most common causes of heel pain in this type of patients, particularly in those who play soccer or basketball, although the diagnosis it´s clinic, imaging, usually plain films are encouraged to make differential diagnosis, although MRI it´s more sensitive. Treatment consist in activity modification, and efforts to decrease the inflammation, other causes of heel pain syndrome are Plantar fasciitis, less common in children but can be found in runners, dancers and sedentary obese children, clinical findings include tenderness of the plantar fascia. In long distance runners the painful heel pad syndrome can occur, after a rupture of the fibrous septae, diagnosis it´s made by history and physical examination and treatment consist in rest and orthotics.


REFERENCES

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