Bilateral Kalkeneal Apofiziti Bulunan Bir Olgunun MRG Bulguları

Abstract

Calcaneal apophysitis (CA) is the most common cause of heel pain in patients before the ossification of calcaneal epiphysis. We report magnetic resonance imaging (MRI) findings of a case with bilateral CA. A 9 year-old male patient with bilateral foot pain was referred to our department for MRI. On bilateral foot MRI, bilateral decreased signal intensity on T1-weighted images, increased signal intensity on fat suppressed T2-weighted images that represents edema, subchondral erosions located tuber calcanei, insertion of Achilles tendon were detected. The diagnosis was bilateral calcaneal apophysitis. Sever's disease or CA is an inflammation of the calcaneal apophysis believed to be caused by repetitive microtrauma from the traction of the Achilles tendon on the unossified apophysis. It frequently occurs before or during the peak growth spurt and often shortly after a child begins a new sport or season. It is usually seen among 8-15 age group. Patients typically have no features such as swelling, skin changes, erythema, or other local abnormalities. Osseous erosion at metaphysis of the neighboring to calcaneal apophysis is the finding of CA on MRI. Similar signal difference may be seen at the secondary apophysial ossification centers.