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Osteomyelitis complicating Sever‘s disease: A report of two cases
Institution:1. Scottish National Spine Deformity Centre, Royal Hospital for Sick Children, Edinburgh, UK;2. Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK;1. Department of Paediatric Orthopaedics, King George''s Medical University, Lucknow, Uttar Pradesh, India;2. Department of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal;3. Department of Orthopaedics, AIIMS, Patna, Bihar, India;1. Orthopaedics, Govt. Medical College Hospital, Chandigarh, India;2. Orthopaedics, Vardhman Mahavir Medical College Hospital, New Delhi, India;3. Orthopedics, Positron Hospital, Sector 35, Rohtak, Haryana, India;1. Department of Orthopedic Surgery, Nationwide Children''s Hospital, Columbus, OH, USA;2. Department of Orthopedic Surgery, Doctor''s Hospital, Columbus, OH, USA;3. Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA;1. Department of Orthopedic Surgery, Nationwide Children''s Hospital, Columbus, OH, United States;2. Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, United States;1. Department of Orthopaedics, Superspecialty Pediatric Hospital & Postgraduate Teaching Institute, Sector 30, Noida, 201303, India;2. Department of Orthopaedics, Lady Hardinge Medical College & Associated Kalawati Saran Children''s Hospital, New Delhi, 110001, India;3. Department of Paediatrics, PGIMER & Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India
Abstract:Sever's disease is a common cause of heel pain in young children and it has a self-limiting course without long term complications. Osteomyelitis of calcaneus is a sinister condition which can lead to serious complication if treatment is delayed. Indolent nature of calcaneus osteomyelitis leads to overlap in its clinical picture with Sever's disease. Two cases of Sever's disease which were later diagnosed and managed for osteomyelitis are reported. Salient differentiating features of Sever's disease and calcaneus osteomyelitis along with management strategy are discussed.
Keywords:Calcaneus  Osteochondritis  Osteomyelitis
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