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Paediatric orthopaedics
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Sever’s disease (enthesopathy of the calcaneal apophysis) presents with heel pain related to activity. Tightness in the calf muscle complex may be a contributing factor. The ‘features' on a radiograph are, in fact, part of normal growth and development.
The ankle and foot
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Traction ‘apophysitis’ (Sever’s disease) This condition usually occurs in boys aged about 10 years. It is not a ‘disease’ but a mild traction injury. Pain and tenderness are localized to the tendo Achillis insertion. The X-ray report usually refers to increased density and fragmentation of the apophysis, but often the painless heel looks similar. The heel of the shoe should be raised a little and strenuous activities restricted for a few weeks.
Paediatric orthopaedic disorders
Published in Maneesh Bhatia, Tim Jennings, An Orthopaedics Guide for Today's GP, 2017
Sunil Bajaj, Nicholas Nicolaou
A short-limbed gait will be seen in limb length discrepancies, and may be the initial presentation of a dislocated hip or congenital limb deficiency. Due to the shortness of a limb, when weight-bearing during walking, the toes on the affected side come in contact with the ground, and will differ from the other side. This must be differentiated from neuro-muscular disorders such as cerebral palsy where spasticity leads to toe walking, differing only in the degree of extension of the knee due to the absence of a difference in leg lengths. Unilateral toe walking is sometimes seen in heel pain in children, the commonest cause of which is Sever’s disease. Unilateral toe walking is always pathological.
Types, Sources, and Debilitating Factors of Sport Confidence in Elite Early Adolescent Academy Soccer Players
Published in Journal of Applied Sport Psychology, 2021
Owen Thomas, Sam N. Thrower, Andy Lane, Jazmine Thomas
Sixteen of the 28 participants identified injury/illness as a confidence-debilitating factor. Eleven players referred to specific types of age related (e.g., Sever’s disease, osteomyelitis) or general injuries (e.g., groin injury) as confidence-debilitating factors. For example, Player 12 described the impact that being injured had on his confidence: “I lose my confidence when I’m injured for a long time and I don’t believe in my strengths as a player because I haven’t been playing for some time.” In addition to this, 11 players described how the consequences of injuries (e.g., falling behind, deselection, lack of fitness) acted as a confidence-debilitating factor when returning to play:
Awake prone positioning versus non invasive ventilation for COVID-19 patients with acute hypoxemic respiratory failure
Published in Egyptian Journal of Anaesthesia, 2021
Practically speaking, many covid 19 cases with respiratory failure/hypoxaemia do not present symptoms of dyspnea (silent hypoxaemia), especially elderly patients [13,14] and their SaO2 is greatly affected by FiO2.patients with sever disease requiring high oxygen therapy and noninvasive positive pressure ventilation, so any method that improves oxygenation, survival rate and prevents lung injury should be considered.