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Is radiographic evaluation necessary in children with a clinical diagnosis of calcaneal apophysitis (sever disease)?

Rachel JN, Williams JB, Sawyer JR, Warner WC, Kelly DM.SourceLe Bonheur Children's Hospital and the Department of Orthopaedic Surgery, University of Tennesee-Campbell Clinic, Memphis, TN, USA.
Journal of pediatric orthopedics.J Pediatr Orthop.2011 Jul-Aug;31(5):548-50.
BACKGROUND: Calcaneal apophysitis (Sever disease) is most often diagnosed clinically, and radiographic evaluation is believed to be unnecessary by many physicians. To evaluate the need for radiographic evaluation in children with a clinical diagnosis of calcaneal apophysitis, we determined the frequ
PMID 21654464

江川陽介,中井真吾,石川真理,鳥居俊
体力科學 54(1), 107-112, 2005-02-01
… However, only a few studies have evaluated the indexes of the muscle-tendon complex as a risk factor of apophysitis. … The purpose of this study was to investigate the relationship between the elastic properties of the Achilles tendon, physical characteristics, muscle tightness (MT) and general joint laxity score (GLP), and tenderness from typical apophysitis (calcaneal tubercle, tibial tuberosity and iliac spine) in kindergarten and elementary school students. …
NAID 110001980134