This is a good one:
Sever's Injury: A Stress Fracture of the Immature Calcaneal Metaphysis. Journal of Pediatric Orthopedics. 24(5):488-492, September/October 2004.Ogden, John A. MD *; Ganey, Timothy M. PhD ++; Hill, J. David MD +; Jaakkola, Juha I. MD +
Magnetic resonance imaging (MRI) in children with a presumptive diagnosis of Sever's apophysitis and with continuing pain after conservative treatment demonstrated bone bruising within the trabecular bone of the metaphyseal region adjacent to the calcaneal apophysis. Limited portions of the apophyseal secondary ossification center showed similar increased signal changes. MRI studies following treatment with immobilization showed subsidence or disappearance of the metaphyseal but not any apophyseal signal changes commensurate with improvement in symptoms. Accordingly, the disorder commonly referred to as Sever's "apophysitis" may be a metaphyseal trabecular stress fracture, similar to the toddler's calcaneal stress fracture that has minimal or no involvement of the apophyseal ossification center, and thus should not be referred to as an apophysitis. Rather, it appears to be an overuse injury causing microinjury within the developing metaphyseal "equivalent" trabecular bone that has not completely adapted to the changing biologic (biomechanical) requirements of the growing, athletically active child.
Ask a question about Severs disease at the Foot Health Forum.
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Thursday, August 19, 2004
Severs Disease
This is a good one:
Sever's Injury: A Stress Fracture of the Immature Calcaneal Metaphysis. Journal of Pediatric Orthopedics. 24(5):488-492, September/October 2004.Ogden, John A. MD *; Ganey, Timothy M. PhD ++; Hill, J. David MD +; Jaakkola, Juha I. MD +
Magnetic resonance imaging (MRI) in children with a presumptive diagnosis of Sever's apophysitis and with continuing pain after conservative treatment demonstrated bone bruising within the trabecular bone of the metaphyseal region adjacent to the calcaneal apophysis. Limited portions of the apophyseal secondary ossification center showed similar increased signal changes. MRI studies following treatment with immobilization showed subsidence or disappearance of the metaphyseal but not any apophyseal signal changes commensurate with improvement in symptoms. Accordingly, the disorder commonly referred to as Sever's "apophysitis" may be a metaphyseal trabecular stress fracture, similar to the toddler's calcaneal stress fracture that has minimal or no involvement of the apophyseal ossification center, and thus should not be referred to as an apophysitis. Rather, it appears to be an overuse injury causing microinjury within the developing metaphyseal "equivalent" trabecular bone that has not completely adapted to the changing biologic (biomechanical) requirements of the growing, athletically active child.
Ask a question about Severs disease at the Foot Health Forum.
Back to home
Sever's Injury: A Stress Fracture of the Immature Calcaneal Metaphysis. Journal of Pediatric Orthopedics. 24(5):488-492, September/October 2004.Ogden, John A. MD *; Ganey, Timothy M. PhD ++; Hill, J. David MD +; Jaakkola, Juha I. MD +
Magnetic resonance imaging (MRI) in children with a presumptive diagnosis of Sever's apophysitis and with continuing pain after conservative treatment demonstrated bone bruising within the trabecular bone of the metaphyseal region adjacent to the calcaneal apophysis. Limited portions of the apophyseal secondary ossification center showed similar increased signal changes. MRI studies following treatment with immobilization showed subsidence or disappearance of the metaphyseal but not any apophyseal signal changes commensurate with improvement in symptoms. Accordingly, the disorder commonly referred to as Sever's "apophysitis" may be a metaphyseal trabecular stress fracture, similar to the toddler's calcaneal stress fracture that has minimal or no involvement of the apophyseal ossification center, and thus should not be referred to as an apophysitis. Rather, it appears to be an overuse injury causing microinjury within the developing metaphyseal "equivalent" trabecular bone that has not completely adapted to the changing biologic (biomechanical) requirements of the growing, athletically active child.
Ask a question about Severs disease at the Foot Health Forum.
Back to home
Monday, August 09, 2004
Diabetic Foot site
I have been tardy in updating here and at my Diabetic Foot site - just added a whole lot of new stuff - check it out here
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Diabetic Foot site
I have been tardy in updating here and at my Diabetic Foot site - just added a whole lot of new stuff - check it out here
Back to home
Back to home
Thursday, July 01, 2004
Thursday, May 27, 2004
New York Feet More Stressed than Boston Feet
New York Feet More Stressed than Boston Feet
An overwhelming 58% of those polled believed New Yorkers have the most stressed out feet, while Boston was named the city with the least stressed feet. Behind New York, San Franciscans were believed to be in need of some feet pampering, but as the closest runner-up only received 9% of the vote. A large majority of consumers have issues with their feet, and in line with being named for having stressed feet, New Yorkers (77%) and San Franciscans (60%) report either not liking the look or feel of their feet. Link
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An overwhelming 58% of those polled believed New Yorkers have the most stressed out feet, while Boston was named the city with the least stressed feet. Behind New York, San Franciscans were believed to be in need of some feet pampering, but as the closest runner-up only received 9% of the vote. A large majority of consumers have issues with their feet, and in line with being named for having stressed feet, New Yorkers (77%) and San Franciscans (60%) report either not liking the look or feel of their feet. Link
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