ArticleJournal of orthopaedic surgery and research2022
Incidence of calcaneal apophysitis (Sever's disease) and return-to-play in adolescent athletes of a German youth soccer academy: a retrospective study of 10 years.
Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 22 citations in OpenAlex.
- Distal-to-proximal progression of apophyseal injuries with age in male youth academy footballers: a two-season prospective cohort study of 16,024 player-seasons.British journal of sports medicine · 2025Article
- Adolescent Soccer Overuse Injuries: A Review of Epidemiology, Risk Factors, and Management.International journal of environmental research and public health · 2025Review
- Conservative Management of Sever's Disease (Calcaneal Apophysitis): A Comprehensive Review of Treatment Efficacy.Cureus · 2025Review
- Article
- Possible association between Sever's disease and attention deficit hyperactivity disorder. a prospective observational study.Journal of orthopaedic surgery and research · 2025Observational
- Exploring the Link Between Calcaneal Apophysis Maturation and Heel Pain in Youth Baseball Players.Orthopaedic journal of sports medicine · 2024Article
- Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography.Ultrasonography (Seoul, Korea) · 2024Article
- Conservative Treatment of Sever's Disease: A Systematic Review.Journal of clinical medicine · 2024Review
- Ages at peak height velocity in male soccer players 11-16 years: relationships with skeletal age and comparisons among longitudinal studies.Biology of sport · 2024Article
- Bone Health in Young Athletes: a Narrative Review of the Recent Literature.Current osteoporosis reports · 2023Review
- Australian secondary school principals', parents', and students' attitudes to prescribed school footwear guidelines.Journal of foot and ankle research · 2023Article
- Characteristics of Pressure on the Apophysis in the Course of Paediatric Heel Pain-Preliminary Report.International journal of environmental research and public health · 2023Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCalcaneal apophysitis, or Sever's disease, is the most common cause of heel pain in childhood and adolescence. It is regarded as an overuse syndrome. Studies on the incidence of calcaneal apophysitis in young athletes and their associated return-to-play time are lacking in the current literature. The aim of our current study was to identify the incidence of calcaneal apophysitis in professional youth soccer, the associated time to return-to-play, predisposing factors and their impact on time to return-to-play.
methodsRetrospective evaluation of injury data gathered from a German youth soccer academy in the years 2009-2018. In total, 4326 injury cases in 612 players were included in the study. The diagnosis and the follow-up visits were carried out in a weekly consultation hour at the youth academy.
resultsDuring the observation period of 10 years, 22 cases of calcaneal apophysitis were detected. The incidence of calcaneal apophysitis per 100 athletes per year was found to be 0.36. The mean age of the affected athletes at the time of diagnosis was 11.8 ± 2.1 years (MW ± SD). The complaints were unilateral in 20 and bilateral in two cases. Three of the 22 detected cases of calcaneal apophysitis (13.6%) were recurrent injuries. The mean time to return-to-play of the affected athletes was 60.7 ± 64.9 days (MW ± SD). Athletes with recurrent complaints showed longer recovery time and time to return-to-play when compared to players with primary diagnosed disease. Our results could show that neither age nor body mass index at the time of diagnosis had an impact on time to return-to-play.
conclusionsThis is the first study investigating the incidence of calcaneal apophysitis and the associated time to return-to-play in youth elite soccer. Calcaneal apophysitis results in substantial time loss for the athletes. Further prospective clinical studies are required to fully understand the etiology and risk factors for calcaneal apophysitis and therefore develop preventive strategies.
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