Common – usually 8 to15 years. May be caused by traction from achilles tendon. Pain on palpation of posterior plantar aspect of calcaneus – also lateral pressure may produce pain. Pain initially occurs after activity, then during activity. Can not be diagnosed from x-ray (normal ossification is fragmented and develops from several centres).
Treatment – activity modification and cushioning heal raise; calf muscle stretching. Could also use strapping to hold foot slightly plantarflexed. Orthoses if pronate excessively.
DDx- enthisitis-related arthritis
"all about lever arms in the tall child or compression and all about micro trauma in the heavy child. MRI’s show bone marrow oedema so it probably is some type of stress fracture or something. Then there is the kids that it is both. "
Buschke disease | Calcaneal Apophysitis | Diaz (Mouchet’s) Disease | Distal Tibial Epiphysitis | Freiberg's Disease | Iselins Disease | Kohler's Disease | Legg-Calve-Perthes Disease | Osgood-Schlatter Disease | Osteochondrosis of Os navicularis | Severs Disease | Thiemann’s Disease | Treves’ or Ilfeld’s Disease
Calcaneal Apophysis Scoring