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Sever’s Disease M92.60 732.5

Sever’s Disease xray

synonyms: Sever’s Disease, Calcaneal apohphysitis

Sever's Disease ICD-10

  • M92.60 - Juvenile osteochondrosis of tarsus, unspecified ankle
  • M92.61 - Juvenile osteochondrosis of tarsus, right ankle
  • M92.62 - Juvenile osteochondrosis of tarsus, left ankle

Sever's Disease ICD-9

  • 732.5 Calcaneal apohphysitis

Sever's Disease Etiology / Epidemiology / Natural History

  • Apophysitis at the calcaneal insertion of the Achilles tendon.
  • Generally boys age 12 or girls age 11. Related to adolescent growth spurt with weak ankle dorsiflexion and tight gastrocsoleus complex.
  • May be overuse injury caused by repetitive microtrauma to the trabecular metaphyseal bone. (Ogden JA, JPO 2004;24:488).

Sever's Disease Anatomy

Sever's Disease Clinical Evaluation

  • Heel pain exacerbated by activity, especially running.
  • Pain increased with compression of the calcaneous

Sever's Disease Xray / Diagnositc Tests

  • A/P and lateral calcaneous: may be normal or demonstrate fragmentation of the calcaneal apophysis. (Volpon JB, Arch Orthop Trauma Surg 2002;122:338)

Sever's Disease Classification / Treatment

  • Plantar flexion stretching, dorsiflexor strengthening, foot orthosis vs heel lifts.
  • Consider cast immobilization in recalcitrant cases.

Sever's Disease Associated Injuries / Differential Diagnosis

Sever's Disease Complications

Sever's Disease Follow-up Care

Sever's Disease Review References