Dautt MPM, Vidal RCA, Iñiguez R, Amador MAC

Language: Spanish
References: 7
Page: 18-21
PDF size: 182.57 Kb.

ABSTRACT

Pain in the posterior region of the heel, medically known as calcaneal apophysitis or Sever’s disease, is a common musculoskeletal condition in children. It has been widely accepted that calcaneal apophysitis is a self-limiting condition that is related to physiological changes in the calcaneal process in growing children and during the transition to adolescence. The inflammation of the apophysis is caused by the traction released in opposite directions between the Achilles tendon and the plantar structures; which causes local congestion, caused by microavulsions in the bone-cartilage junction. It is commonly the result of repetitive movements associated with contusion and plantar overload. The physical examination often reveals tenderness and pain in the posterior region of the heel when compression is applied to the medial and lateral courses of the Achilles tendon insertion. The evaluation by image is carried out by simple radiology and in some cases by the application of a nuclear magnetic resonance. The treatment is conservative and has been aimed at the modification of the activity and the footwear, as well as the use of padded heel cups and myotendinous stretches of the gastrocnemius and soleus.

REFERENCES

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