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Jokela A, Aho J, Kosola J, Stenroos A, Sinikumpu JJ, Maffulli N, Lempainen L. Heel pain in young athletes - not always Sever's Disease: A Narrative Review. Foot (Edinb) 2024; 60:102114. [PMID: 39029380 DOI: 10.1016/j.foot.2024.102114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 06/06/2024] [Accepted: 06/15/2024] [Indexed: 07/21/2024]
Abstract
Heel pain is a prevalent issue in young athletes, often arising from overuse and increased sporting demands. While Sever's Disease is the predominant cause, various other entities, including stress-related injuries and pathologies like tumors and bone lesions, contribute to this condition. The complex hind foot anatomy, encompassing ossicles, physis, and soft tissues, may lead to heel pain. This study aims to provide physicians with a clinically oriented narrative review of adolescent heel pain, supported by illustrative cases. CONCLUSION: This study aims to offer physicians a comprehensive understanding of the concepts surrounding heel pain in adolescents. By presenting clinically relevant information and illustrated cases, it seeks to enhance medical practitioners' ability to diagnose and manage heel pain effectively in this specific demographic.
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Affiliation(s)
- Aleksi Jokela
- Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland
| | - Joni Aho
- University of Turku, Turku, Finland
| | - Jussi Kosola
- Department of Orthopaedics and Traumatology, Kanta-Häme Central Hospital, Hämeenlinna, Finland; University of Helsinki, Helsinki, Finland; Department of Physical Activity and Health, Paavo Nurmi Centre, University of Turku, Turku, Finland; Department of Orthopaedics and Traumatology, Hyvinkää Hospital, Hyvinkää, Finland
| | - Antti Stenroos
- Department of Orthopaedics and Traumatology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
| | - Juha-Jaakko Sinikumpu
- Department of Children and Adolescents, PEDEGO unit and MRC Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Nicola Maffulli
- Department of Musculoskeletal Disorders, University of Salerno School of Medicine, Surgery and Dentistry, Salerno, Italy; Centre for Sports and Exercise Medicine, Queen Mary University of London, London, UK; Institute of Science and Technology in Medicine, Keele University School of Medicine, Stoke on Trent, UK
| | - Lasse Lempainen
- Department of Physical Activity and Health, Paavo Nurmi Centre, University of Turku, Turku, Finland; FinnOrthopaedics / Hospital Pihlajalinna, Turku, Finland; Ripoll y De Prado, FIFA Medical Centre of Excellence, Madrid, Spain.
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Pediatric Sports Trauma. Clin Podiatr Med Surg 2023; 40:55-73. [PMID: 36368848 DOI: 10.1016/j.cpm.2022.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Pediatric foot and ankle fractures are common in athletic participation. Treatment of pediatric sports trauma must take into account the unique challenges this population presents, and aim to minimize long-term complications. Given the excellent remodeling potential of pediatric bone, conservative treatment can often be used. However, a thorough understanding of physeal anatomy, fracture patterns, and biomechanics is needed to guide treatment choice and determine when surgical intervention is warranted.
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Fleming JJ, Kooner RK, Soondar S. Use of a posterior antiglide plate in a pediatric ankle fracture: a case report. J Foot Ankle Surg 2009; 48:469-73. [PMID: 19577725 DOI: 10.1053/j.jfas.2009.01.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2008] [Indexed: 02/03/2023]
Abstract
The authors describe the case of a 13-year-old male with a Salter-Harris II fracture-subluxation of the fibula. Open reduction and internal fixation with a posterior antiglide plate achieved mortise stability and avoided penetration of the fibular physis by fixation devices. After searching the Medline, EMBASE, CINAHL, and the Cochrane Library databases, to our knowledge, there have been no published reports describing the advantages associated with the use of a posterior antiglide plate for fixation of the immature fibula.
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Affiliation(s)
- Justin J Fleming
- Jefferson Health System-Frankford Hospital, Philadelphia, PA, USA
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