Volume 1, Case 20


Sever's Disease
Radiology Cases in Pediatric Emergency Medicine
Volume 1, Case 20
Erin A. Nakano, MD

A 10 year male presents to the acute care clinic with a 3 month history of intermittent right heel pain. There was no inciting specific injury that he could recall. He first noticed the pain while playing basketball. The heel pain would worsen with running and playing sports, especially basketball and soccer. The longer he played, the worse the pain would become. There was no history of fever or any other bone or joint complaints.

Exam: T37.0, P81, R24, BP 126/78. He was of an average size for age, alert, active, in no discomfort. The extremities were without swelling or deformities. There was no erythema or evidence of external infection over the heels. There was moderate tenderness to compression over the right posterior heel at the insertion of the achilles tendon (calcaneal apophysis). Both ankles and all other joints were normal. He ambulated normally and he could jump up and down without difficulty or pain.

Radiographs of the right foot were obtained.

View radiographs.

 Loren Yamamoto, 
      MD, MPH Associate Professor of Pediatrics University of Hawaii John A. Burns 
      School of Medicine loreny@hawaii.edu

Volume 1, Case 20

Sever's Disease Radiology Cases in Pediatric Emergency Medicine Volume 1, Case 20 Erin A. Nakano, MD

Oblique

Lateral

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