Neuroscience Research Center, Faculty of Medicine, Lebanese University, Beirut, Lebanon
College of Medical, Veterinary, and Life Sciences, University of Glasgow, Glasgow, Scotland, UK.
Clin Med Res. 2021 Sep;19(3):132-137. doi: 10.3121/cmr.2021.1639.
Sever's disease is an underreported prevalent pediatric condition that causes heel pain in children worldwide. It is often described as an overuse injury that can present with either unilateral or bilateral heel pain. Even though the exact mechanism of injury is unknown, it is often thought it involves repetitive stress and pressure on the calcaneal growth plate. Diagnosing Sever's disease mainly relies on a thorough clinical investigation and physical examination, with a positive squeeze test usually sufficient to establish diagnosis. Nevertheless, radiographic imaging can help exclude other differential diagnoses. Therapeutic options of Sever's disease are mostly conservative, and these include rest, physical therapy, kinesiotherapy, and orthoses. Educating parents and coaches on the symptomatology and presentation of Sever's disease is pivotal for the establishment of efficient preventive interventions and earlier diagnoses. This study presents a case of a pediatric patient with Sever's disease and offers medical insight into the diagnostic, clinical, pathologic, and therapeutic characteristics of this condition, in light of the current existing literature.
Sever 病是一种报道较少的普遍儿科疾病,会导致全世界儿童足跟痛。它通常被描述为一种过度使用损伤,可表现为单侧或双侧足跟痛。尽管确切的损伤机制尚不清楚,但通常认为它涉及跟骨生长板的反复应力和压力。Sever 病的诊断主要依赖于彻底的临床调查和体格检查,通常挤压试验阳性足以确立诊断。然而,影像学检查有助于排除其他鉴别诊断。Sever 病的治疗选择主要是保守治疗,包括休息、物理治疗、运动疗法和矫形器。向父母和教练传授 Sever 病的症状和表现对于建立有效的预防干预措施和早期诊断至关重要。本研究介绍了一例儿童 Sever 病患者,并根据现有文献,提供了对该疾病的诊断、临床、病理和治疗特征的医学见解。