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A. Sever’s Disease

  • AKA Calcaneal Apophysitis

  • Most prevalent in adolescent boys, 8 to 13 years

  • Etiology is felt due to acute or chronic strain of Achilles tendon on the unfused posterior apophysis of the calcaneus

    • Cartilaginous apophysis is subject to shearing stress of the gastrocnemius due to vertical orientation
    • Cartilage is weaker, more vulnerable structure
    • Contusion can occur with fall or trauma

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