Calcaneal Apophysitis

Question 1

Calacaneal Apophysitis is also called ______ Disease

Answer 1

Sever’s

Question 2

Prevalence
___-_____ years old
Biological ______ (12 yrs)> ________ (11 yrs)

Answer 2

9; 12
males
females

Question 3

Etiology: ______ and ______ contact

Answer 3

growth; high

Question 4

Structures Involved
______ _______ growth exceeds _____ lengthening

Increased _____ _______

_____ _______ weak spot opposed to tendon in adult

Mostly __________

Answer 4

Leg bone; PF
tendon tension
growth plate
inflammation

Question 5

Complications:1) _________
2) __________ closure

Answer 5

avulsion
premature

Question 6

Risk Factors
1. Long or year-round ______
2. Poor ______ _____ (lack heel cushion)
3. _______ errors
4. Shortened ____s
5. Foot ________ (pes planus/cavus)

Answer 6

sports
fitting shoes
training
PF
dysfunction

Question 7

Symptoms
______ onset of _____ P! with overuse
____(60%) > U
A ‘pop” = ________

Answer 7

Gradual
heel
B
avulsion

Question 8

Signs
Observation: Poor _____ support/cushion
Foot ________ (excessive foot pronation/supination)
Impaired _____ control

ROM- limited _____ can lead to greater _____ forces on growth plate

Resisted/MMT: possibly weak and P!ful ____s and weak ____s

Answer 8

shoe
dysfunction
LQ
DF
tensile
PF
DF

Question 9

Special Tests
______ test on heel
_______ sign- pain with heel raise
M. length- shortened ______

Answer 9

Squuez
Sever’s
Gastrocs

Question 10

Palpation: TTP over “___-“ of calcaneus

Answer 10

cap

Question 11

PT Rx
Patient _______

_____ rule

_____ management (active rest on rest days)

Movement _____ for LQ mechanics

POLICED

“U” shaped ______ upside down on Achilles with ankle sleeve

Restore _____ ROM/ accesory motion- JM/STM

Answer 11

education
soreness
load
cues
foam
DF

Question 12

You want to be careful with prolonged _____ stretch

Answer 12

calf

Question 13

PT Rx
________ stretching could help due to fascial connections to Gastroc

Answer 13

Hamstring

Question 14

PT rx
Orthotics: Arch support for excessive _______

_____ ______> arch supports
- more effective at ____ months
- equally effective at _____ months

THE BEST: _____ heel cups with a ______ works best with both shoes

Answer 14

pronation
heel lifts
2
12
GEL; lift

Question 15

MET: for any impaired LQ control
*Caution with ____/_____ attached to growth plate to avoid greater overuse

Answer 15

muscle; tendon

Question 16

Prognosis
75% resolved at ____ month and 95% at ____ months

Can be ______ and or ______ problem

Growth plate closes around _____ years

Answer 16

1; 3
recurrent; persistent
14