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calcaneal apophysitis

M R Garcia, A D Nicholson, A M Nduaguba, J O Sanders, R W Liu, D R Cooperman
Purpose: There are multiple skeletal maturity grading systems, but none of them utilizes the phalanges of the foot. To minimize radiation, it would be ideal if one could assess the skeletal maturity of a foot based on bones seen on routine foot radiographs, if guided growth is being considered as a treatment option. We developed a system that correlates changes of the appearance of the foot phalanges to peak height velocity (PHV) and the recently described calcaneal apophyseal ossification grading system...
February 1, 2018: Journal of Children's Orthopaedics
Priscilla Tu
The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. The specific anatomic location of the pain can help guide diagnosis. The most common diagnosis is plantar fasciitis, which leads to medial plantar heel pain, especially with the first weight-bearing steps after rest. Other causes of plantar heel pain include calcaneal stress fractures (progressively worsening pain after an increase in activity or change to a harder walking surface), nerve entrapment or neuroma (pain accompanied by burning, tingling, or numbness), heel pad syndrome (deep, bruise-like pain in the middle of the heel), and plantar warts...
January 15, 2018: American Family Physician
Simon Christopher McSweeney, Lloyd Reed, Scott Wearing
BACKGROUND: This study evaluated quasi-static measures of foot mobility magnitude (FMM) and foot stiffness (FS) in children, aged 8 to 14 years, with and without calcaneal apophysitis. METHODS: Between 2016 and 2017, FMM and FS measurements were captured on 41 children (22 cases and 19 controls) using a custom-built foot assessment platform. The platform incorporated a portable force plate that allowed quantification of vertical force during double-limb stance (DLS)...
January 1, 2018: Foot & Ankle International
Ersin Kuyucu, Barış Gülenç, Hüseyin Biçer, Mehmet Erdil
BACKGROUND: The aim of the present study was to assess the efficacy of kinesiotherapy used for treating various disorders in athletes on pain and pedal functions in patients with calcaneal apophysitis. METHODS: This prospective randomized controlled study included 22 patients with calcaneal apophysitis aged 8 to 16 years presenting with heel pain among junior athletes of a professional football club. The patients were randomly grouped into two groups, with one group receiving sham tape only and the other kinesio tape...
October 6, 2017: Journal of Orthopaedic Surgery and Research
Katherine Uvelli, Jon O Neher, Sarah Safranek
No abstract text is available yet for this article.
July 15, 2017: American Family Physician
Banu Kuran, Tolga Aydoğ, Cem Erçalık, Pınar Arda, Figen Yılmaz, Beril Doğu, Julide Öncü, Gülgün Durlanık
Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain...
January 2017: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
Matthew A Halanski, Sam Abrams, Rachel Lenhart, Ellen Leiferman, Teresa Kaiser, Emily Pierce, Rachel Rebekah Franklin, Dayton Opel, Kenneth J Noonan, Thomas D Crenshaw
PURPOSE: Tibialis anterior tendon transfers (TATT) are commonly performed in young children following Ponseti casting for clubfeet. The classic TATT involves advancing the tendon through a hole drilled in the ossified cuneiform. The aim of this study was to determine if tendons transferred through unossified bones have untoward effects on subsequent bone development. METHOD: Twenty-five piglets underwent one of five surgical procedures. An 18-gauge needle was then used to place a tunnel through the bony or cartilaginous portion of the calcaneus (through direct visualization) and isolated slips of the flexor digitorum superficialis (FDS) were placed through the tunnels, as determined by surgical procedure...
December 2016: Journal of Children's Orthopaedics
Martin J Davison, S Kenneth David-West, Roderick Duncan
The most common cause of adolescent heel pain is calcaneal apophysitis also known as Sever's disease. The condition may occur in adolescent athletes, particularly those involved in running or jumping activities, during the pubertal growth spurt. The mean age of presentation in Sever's disease is ten, (range 7-15). It presents with posterior heel pain that is worse with activity and relieved by rest in most cases. Sever's disease, Osgood Schlatter's disease (tibial tuberosity) and Sinding-Larsen Johansson syndrome (distal patella) are all overuse syndromes brought about by repetitive submaximal loading and microtrauma...
May 2016: Practitioner
Alicia M James, Cylie M Williams, Terry P Haines
BACKGROUND: Children with a clinical diagnosis of calcaneal apophysitis reportedly experience impaired physical ability. Patient reported outcome assessments measure the level of conditional specific interference in everyday life. The aim of this study was to assess and compare the child and parent perceptions of health related quality of life (QOL) associated with calcaneal apophysitis. METHODS: This is a longitudinal repeated measure study nested within a randomized comparative effectiveness trial...
June 24, 2016: Health and Quality of Life Outcomes
Nora Shields
No abstract text is available yet for this article.
April 2016: Journal of Physiotherapy
L Döderlein, C Dussa
BACKGROUND: The apophysis of the calcaneal bone forms an insertional region for the strong plantarflexors with the Achillis tendon and serves as an origin for the plantar aponeurosis and the short intrinsic foot muscles. Both components create a tendinous sling whithin which the apophysis acts as a pivot, which functions when it runs a straight course and its tension is adequate. This mechanism results in combined tractional and compressional forces which work together with the ground reaction forces during gait as molding elements of the calcaneous bone...
March 2016: Der Orthopäde
Cylie Williams
No abstract text is available yet for this article.
April 2016: Journal of Physiotherapy
Alicia M James, Cylie M Williams, Terry P Haines
OBJECTIVE: Calcaneal apophysitis, is a relatively common cause of heel pain in children. Very few randomised studies have evaluated treatment options. This trial compared the effectiveness of currently employed treatment options for the relief of pain and disability associated with calcaneal apophysitis. DESIGN: Factorial 2×2 randomised comparative effectiveness trial with 1, 2, 6 and 12-month follow-up. SETTING: Participants were recruited from the caseload of podiatrists at Monash health and Peninsula Health...
October 2016: British Journal of Sports Medicine
B Heimkes
BACKGROUND: The structure of apophyses and apophyseal growth plates is not substantially different from those of epiphyses and epiphyseal growth plates. In contrast to epiphyseal growth plates, apophyses and apophyseal growth plates do not contribute to the longitudinal growth of the extremity. They are associated with their adjacent joints, triggering the lengths of their lever arms and influencing their external shape and internal architecture. The formative stimulus on apophyses is given by muscles and tendons inserting at the apophysis or canopying the apophsis...
March 2016: Der Orthopäde
A D Nicholson, J O Sanders, R W Liu, D R Cooperman
The accurate assessment of skeletal maturity is essential in the management of orthopaedic conditions in the growing child. In order to identify the time of peak height velocity (PHV) in adolescents, two systems for assessing skeletal maturity have been described recently; the calcaneal apophyseal ossification method and the Sanders hand scores. The purpose of this study was to compare these methods in assessing skeletal maturity relative to PHV. We studied the radiographs of a historical group of 94 healthy children (49 females and 45 males), who had been followed longitudinally between the ages of three and 18 years with serial radiographs and physical examination...
December 2015: Bone & Joint Journal
Alicia M James, Cylie M Williams, Michelle Luscombe, Reshele Hunter, Terry P Haines
OBJECTIVE: To identify any association between the pain experienced as a result of calcaneal apophysitis, anthropometric data, and lower limb measurements. STUDY DESIGN: This study was a cross-sectional study, nested within a wider randomized, comparative efficacy trial. One hundred twenty-four children between the ages of 8 and 14 years with a clinical diagnosis of calcaneal apophysitis were recruited for this study. Of the participating children, 72 were male...
August 2015: Journal of Pediatrics
Allen D Nicholson, Coridon M Huez, James O Sanders, Raymond W Liu, Daniel R Cooperman
BACKGROUND: In 2 recent studies, modified Oxford hip scores of 16 through 18 have been shown to predict an extremely high risk of contralateral slipping in unilateral slipped capital femoral epiphysis (SCFE). However, the modified Oxford system is not widely used. This may be due, in part, to the complexity of the scoring system, difficulty in viewing all 5 radiographic features on a single x-ray and phenotypic variation in the features. Ossification of the calcaneal apophysis provides an osteologic marker of skeletal maturation in relation to peak height velocity and has been described previously...
March 2016: Journal of Pediatric Orthopedics
Johannes I Wiegerinck, Ruben Zwiers, Inger N Sierevelt, Henk C P M van Weert, C Niek van Dijk, Peter A A Struijs
BACKGROUND: Calcaneal apophysitis is a frequent cause of heel pain in children and is known to have a significant negative effect on the quality of life in affected children. The most effective treatment is currently unknown. The purpose of this study is to evaluate 3 frequently used conventional treatment modalities for calcaneal apophysitis. METHODS: Three treatment modalities were evaluated and compared in a prospective randomized single-blind setting: a pragmatic wait and see protocol versus a heel raise inlay (ViscoHeel; Bauerfeind) versus an eccentric exercise regime under physiotherapeutic supervision...
March 2016: Journal of Pediatric Orthopedics
Allen D Nicholson, Raymond W Liu, James O Sanders, Daniel R Cooperman
BACKGROUND: Ossification of the calcaneal apophysis has never been fully characterized. We examined the ossification sequence of the calcaneus in relation to ossification of the iliac apophysis and the timing of the peak height velocity (PHV). METHODS: Ninety-four healthy children (forty-nine girls and forty-five boys), from three to eighteen years old, were followed longitudinally through growth with annual serial radiographs and physical examinations. These were done at least annually from ten to fifteen years of age...
January 21, 2015: Journal of Bone and Joint Surgery. American Volume
Christopher W Bailey, Mary L Cannon
No abstract text is available yet for this article.
May 2014: Journal of the American Osteopathic Association
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