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2017, Number 1

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Revista Cubana de Ortopedia y Traumatología 2017; 31 (1)

Calcaneus normal radiological patterns in children

Vergara AE, Erazo ALM, Moreno GLÁ

Language: Spanish
References: 18
Page: 1-11
PDF size: 334.91 Kb.


ABSTRACT

Introduction: In children, heel pain is frequent after walking, requiring conventional radiograph. The reviewed literature did not provide a description of calcaneus radiological development in children. Hyperdensity and fragmentation of the posterior apophysis are frequently associated with Sever's disease; however, these characteristics have been described in asymptomatic children.
Objective: Describe the calcaneus radiological characteristics in children, according to age groups and specify those related to the development of the apophysis ossification nucleus.
Method: A descriptive observational cross-sectional study was conducted. Population: X-rays of children between 5 and 15 years of age. A radiological description and different measures were performed to compare the subgroups.
Results: 148 radiographs were obtained, only one posterior apophysis ossification nucleus was identified. The ossification and fusion process was earlier in girls than in boys in approximately 2 years, starting between 6 and 8 years and ending between 13 and 15 years. The ossification pattern started in the calcaneus lower half and continued toward the top. Slots were observed in 26% of the radiographs and hyperdensity was a common feature in 89%.
Conclusions: The calcaneus normal radiological characteristics in children and ossification of the nucleus of the posterior apophysis are described, establishing differences by age and sex. Increased density and the presence of clefts are normal features and do not indicate disease.


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