Clinical History:
M13 with heel pain during athletic activity. Xray normal. Very localised tenderness over the medial side of calcaneal tuberosity.
Imaging:
Diagnosis:
Severs disease
Discussion:
The area of clinical tenderness correlated with a focally thickened and hyperaemic physial plate of calcaneal apophysis with mild irregularity of the marginating apophysial ossification centre (arrowheads). These changes were not apparent at the growth plate elsewhere.
