Sever's disease

(redirected from Sever's Heel Disease)

Sever's disease

Sever's disease traction apophysitis of posterior leaflet of calcaneum, characterized by posterior-heel pain and tenderness, especially following exercise, affecting boys more than girls, with a peak age of onset of 14 years (see Table 1and Table 2; apophysitis)
Table 1: Rearfoot pain
Location of painPossible causes
Posterior aspect of heelSever's disease/traction apophysitis
Duck bill fracture of calcaneum
Haglund's deformity
Insertional calcific Achilles tendinosis
Deep retrocalcaneal bursitis
Superficial retrocalcaneal bursitis
Achilles tendinitis
Partial rupture of Achilles tendon
Total rupture of the Achilles tendon
Blisters
Chilblain/perniosis
Inferior (plantar) aspect of heelCalcaneal fracture
Osteoid osteoma
Calcaneal spur
Baxter's neuritis
Sero-negative and sero-positive inflammatory joint disease
Plantar calcaneal bursitis (policeman's heel; stone bruise; subcalcaneal bursitis)
Proximal plantar fasciitis
Proximal foot strain
S1 entrapment neuropathy/radiculopathy
Medial calcaneal nerve entrapment neuropathy
Corn/callosity
Verruca pedis
Medial aspect of the heelDeltoid ligament strain/sprain
Tibialis posterior tendinitis
Tibialis posterior rupture/partial rupture
Flexor hallucis longus tendinitis
Flexor digitorum longus tendinitis
Lateral aspect of the heelLateral collateral ligament strain/sprain
Peroneus longus tendinitis
Peroneus brevis tendinitis
Anterior aspect of ankleOsteochondritis dissecans of the talus
Anterior impingement
Extensor retinaculitis
Periphery of heelHeel fissures
Tinea pedis
Table 2: Ossification and epiphyses fusion dates
BonePrimary centreSecondary centreEpiphyseal fusion
Tibia (diaphysis)7th week
Tibia (upper epiphysis)At birth20th year
Tibia (lower epiphyses)2nd year18th year
Fibula (diaphysis)8th week
Fibula (upper epiphysis)4th year25th year
Fibula (lower epiphysis)2nd year20th year
Calcaneum (body)6th month
Calcaneal epiphysis6th-10th month12th-15th years
Talus7th month
CuboidAt birth
Lateral cuneiform1st year
Medial cuneiform3rd year
Intermediate cuneiform4th year
Navicular4th year
First metatarsal shaft8th-9th week
First metatarsal base3rd year17th-20th year
Lesser metatarsal shafts8th-9th week
Proximal phalanges; shafts12th-14th week
Proximal phalanges; bases3rd-6th years17th-18th years
Intermediate phalanges; shafts4th-9th month
Intermediate phalanges, bases; Distal phalanx hallux3rd-6th year17th-18th year
Distal phalanx; shafts8th week
Distal phalanx, bases6th year17th-18th year