Sever Hastalığının Tanısı: Literatürün Gözden Geçirilmesi

Öz

Kalkaneal apofizit, Sever Hastalığı olarak da bilinen bir durumdur. Son bilgiler, altta yatan bir etiyoloji olarak aşırı kullanım yaralanması olduğunu desteklemektedir. Tipik prezentasyon, yeni başlayan spor aktivitesi öyküsü olan bir adölesanda aktivite sırasında bilateral veya unilateral topuk ağrısıdır. Topuk ağrısı olan hastalar için ayrıntılı bir öykü, dikkatli bir fizik muayene ve gereğinde basit laboratuvar testleri yapmalıyız. Hastanın semptomları ve muayenesi kalkaneal apofizit ile uyumluysa, bazı yazarlar rutin uygulamaların aksine radyografiye gerek olmadığına inanmaktadır. Manyetik rezonans görüntüleme ve ultrason da yardımcı tanılama görüntüleri sağlayabilir, ancak ilk aşamada ne düşük maliyetli ne de kolay erişilebilirdir. Klinisyenin bu konu ile ilgili bilgi ve deneyimini artırması önemli olup optimal tanısal algoritma için daha ileri çalışmalara gerek vardır.

Anahtar Kelimeler

• Sever Hastalığı
• Arka ayak ağrısı
• Kalkaneal apofizit

Diagnosing Sever Disease: Overview Of The Literature

Öz

Calcaneal apophysitis is a condition known also sever disease. Recent knowledge supports overuse injury as an underlying etiology. The typical presentation is bilateral or unilateral heel pain during an activity in an adolescent who had a history of new-onset sports activity. We should take a detailed history, careful examination and simple laboratory tests for the patients with painful heels. If the patient's symptoms and examinations fit with calcaneal apophysitis some authors believe no need for radiography, unlike routine practice. MRI and ultrasound can also provide helpful diagnostic images but are neither cost-effective nor easy accessible at the first stage. We need to improve our knowledge and confidence in the clinical workup. Obviously further investigations require to reveal an ideal diagnostic algorithm.

Anahtar Kelimeler

• Sever Disease
• Rear foot pain
• Calcaneal apophysitis

Kaynakça

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