Sever Disease (Calcaneal Apophysitis)

Overview

4.6 out of 5 (9 Reviews)

Credits

1.00

Post Assessment Questions

7

Start Date

1 Jan 2021

Last Review Date

11 Jan 2024

Expiration Date

31 Dec 2023

Estimated Time To Finish

60 Minutes


 
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Activity Description

Sever disease, or calcaneal apophysitis, is a common cause of heel pain in children or young athletes aged 8 to 15 with immature skeletons. Sever disease results from repetitive microtrauma to the secondary ossification center by traction of the Achilles tendon insertion on the calcaneus. This overuse injury manifests as traction apophysitis at the heel, directly associated with the insertion site of the Achilles tendon. Children and adolescents experiencing a rapid growth spurt or engaging in sports that entail running and jumping may develop heel pain, which subsides with rest or inactivity. Sever disease follows a self-limited course, and its management involves activity modification or relative rest guided by pain levels. Symptom control incorporates the use of anti-inflammatory medications, ice, heel cups or heel lifts, and, in severe instances, immobilization. This activity delves into the etiology and pathophysiology of Sever disease and explores its evaluation and management while highlighting the crucial role of the interprofessional healthcare team in enhancing care for individuals affected by this condition.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the characteristic signs and symptoms of Sever disease, including heel pain in skeletally immature individuals aged 8 to 15, and distinguish them from other causes of pediatric heel pain.

  • Screen pediatric patients, especially those undergoing rapid growth spurts or participating in running and jumping sports, for Sever disease through a comprehensive clinical evaluation.

  • Implement evidence-based conservative management strategies for Sever disease, including activity modification, relative rest, and proper footwear recommendations.

  • Collaborate with physical therapists, athletic trainers, and other interprofessional healthcare professionals to optimize the interprofessional care approach for patients with Sever disease.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

Jordan R. on 10/2/2021

Richard D. on 9/27/2022

Harry B. on 11/21/2022

Daniel R. on 12/20/2022

Keaton A. on 9/6/2023

channa p. on 11/17/2023

Rebecca B. on 11/20/2023

Hannah D. on 1/21/2024

Garrett A. on 2/10/2024

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