Presentation
An athletic child involved in multiple sports, presented with posterior heel pain for 6 months.
Patient Data
Age: 12 years
Gender: Male
From the case:
Sever disease (calcaneal apophysitis)
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There is increased calcaneal apophyseal density bilaterally with associated fragmentation. There are no radiographic features to suggest retrocalcaneal bursitis.
Case Discussion
Sever disease is most often a clinical diagnosis and is usually confirmed on MRI. There are however non-specific plain film features that may allude to the diagnosis, specifically apophyseal fragmentation and increased density. Retrocalcaneal bursitis may also be associated.
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