Kumar Sunil, Jain Nimesh, Karpe Prasad, Limaye Rajiv
Department of Orthopaedics, North Tees University Hospital, Stockton on Tees, TS19 8PE, United Kingdom.
J Clin Orthop Trauma. 2020 Mar-Apr;11(2):310-313. doi: 10.1016/j.jcot.2019.08.010. Epub 2019 Aug 13.
Sever's disease is a common cause of heel pain in young children and it has a self-limiting course without long term complications. Osteomyelitis of calcaneus is a sinister condition which can lead to serious complication if treatment is delayed. Indolent nature of calcaneus osteomyelitis leads to overlap in its clinical picture with Sever's disease. Two cases of Sever's disease which were later diagnosed and managed for osteomyelitis are reported. Salient differentiating features of Sever's disease and calcaneus osteomyelitis along with management strategy are discussed.
Sever病是幼儿足跟痛的常见原因,病程具有自限性,无长期并发症。跟骨骨髓炎是一种严重疾病,如果治疗延迟可导致严重并发症。跟骨骨髓炎的隐匿性导致其临床表现与Sever病重叠。本文报告了两例最初诊断为Sever病但后来确诊并按骨髓炎治疗的病例。讨论了Sever病和跟骨骨髓炎的显著鉴别特征及治疗策略。