Sever's Disease (Calcaneal Apophysitis)
Sever's Disease (Calcaneal Apophysitis)
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DOI：
10.1097/tme.0000000000000219
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发表时间：
2019-01-01
影响因子：
0.5
通讯作者：
Baker, Caron
中科院分区：
文献类型：
--
作者：
Ramponi, Denise R.;Baker, Caron
Sever's病，或跟骨骨骺炎，是8至15岁儿童足跟痛的主要原因。儿童运动员的主要危险因素是肥胖和高水平的体力活动。Sever的损伤主要来自高冲击性运动，如足球，田径，越野，体操，网球和芭蕾。这种损伤主要发生在青春期，未成熟跟骨的生长板开放。临床诊断可以通过在身体检查时对脚跟进行“挤压试验”来确认。影像学表现包括X线平片上跟骨骨突硬化和碎裂增加。冰敷、活动限制、拉伸、非甾体抗炎药、固定和足跟杯都是可以用于治疗Sever's引起的疼痛的方法。没有长期影响与Sever病有关。
Sever's disease, or calcaneal apophysitis, is the primary cause of heel pain in pediatric patients between the ages of 8 and 15 years. Primary risk factors in pediatric athletes are obesity and high levels of physical activity. Sever's injury primarily results from high-impact sports such as soccer, track, cross-country, gymnastics, tennis, and ballet. This injury mainly occurs during puberty with an open growth plate in the immature calcaneus. Clinical diagnosis can be confirmed by performing a "squeeze test" of the heel on physical examination. Diagnostic imaging findings include increased sclerosis and fragmentation of the calcaneal apophysis on plain radiograph x-rays. Ice, activity restriction, stretching, nonsteroidal anti-inflammatory drugs, immobilization, and heel cups are all methods that can be utilized in treating the pain caused by Sever's. No long-term effects have been associated with Sever's disease.