Dear All
Can't wait to treat a fracture
when is the NHS giving it an item number?
Paul C
> 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.
>
>
>
> Kind Regards
> CP
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> Craig Payne
> Department of Podiatry ph: (+61)(3) 9479 5820
> School of Human Biosciences fx: (+61)(3) 9479 5784
> Faculty of Health
> LaTrobe University
> Bundoora, Vic 3086, Australia
> http://www.health.latrobe.edu.au/Schools/POD/home.html
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