European Journal of Pediatrics

, Volume 173, Issue 5, pp 677–679 | Cite as

Incidence of calcaneal apophysitis in the general population

  • Johannes I. WiegerinckEmail author
  • Caroline Yntema
  • Henk J. Brouwer
  • Peter A. A. Struijs
Short Communication



Calcaneal apophysitis, or Sever’s disease, is a traction apophysitis. It is a frequent cause of heel pain in children. Knowledge about the exact incidence of calcaneal apophysitis in the general population, however, is lacking.


Cross-sectional study.


From 34 general practices, records of patients between 6 and 17 years old, visiting the general practitioner (GP), were analysed. Diagnoses of calcaneal apophysitis were counted using computerised registration networks of GPs in 2008, 2009 and 2010.


There were 16,383 SOAP files searched and a number of 61 children with calcaneal apophysitis were established over the years 2010, 2009 and 2008, showing an incidence of 3.7 in 1,000 registered patients.


This is the first report on incidence rates of calcaneal apophysitis in general practice. With an incidence of 3.7 in 1,000 registered patients, it is a common pathologic entity, which requires more research on pathophysiology and therapy. The actual incidence may even be higher due the strict inclusion criteria of this study.


Calcaneal apophysitis Sever’s Heel pain Incidence Children 


Conflict of interest

No funding of any kind was received.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Johannes I. Wiegerinck
    • 1
    Email author
  • Caroline Yntema
    • 1
  • Henk J. Brouwer
    • 2
  • Peter A. A. Struijs
    • 1
  1. 1.Department of Orthopaedic Surgery, Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands
  2. 2.Department of General Practice, Division of Clinical Information and Public Health, Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands

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