Pediatric Radiology

, Volume 15, Issue 2, pp 119–122 | Cite as

Heel pain due to retrocalcaneal bursitis-radiographic diagnosis (with an historical footnote on Sever's disease)

  • M. A. Heneghan
  • T. Wallace


Retrocalcaneal bursitis is a distinct condition causing posterior heel pain in active, healthy children. It appears to result from post-traumatic inflammation of the soft tissues of the posterior heel, and is unrelated to avascular necrosis of the calcaneal apophysis. The diagnosis may be confirmed radiographically by the loss of the lucent retrocalcaneal recess, with a normal Achilles tendon and superficial soft tissue contour, and intact cortex of the underlying os calcis.


Public Health Soft Tissue Healthy Child Achilles Tendon Avascular Necrosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Caffey J (1978) Pediatric X-ray diagnosis, 7th eds. Year Book Medical Publishers, Chicago, p 1353Google Scholar
  2. 2.
    Heneghan MA, Pavlov H (1984) The Haglund syndrome: experimental investigation of etiology and therapeutic implications. Clin Orthop Rel Res (in press)Google Scholar
  3. 3.
    Hughes ESR (1948) Painful heels in children. Surg Gynecol Obstet 86: 64Google Scholar
  4. 4.
    Pavlov H, Heneghan MA, Hersh A, Goldman AB, Vigorita V (1982) The Haglund syndrome: initial and differential diagnosis. Radiology 144: 83PubMedGoogle Scholar
  5. 5.
    Resnick D, Feingold ML, Curd J, Niwayama G, Goergen TG (1977) Calcaneal abnormalities in articular disorders. Radiology 125: 355PubMedGoogle Scholar
  6. 6.
    Sever JW (1912) Apophysitis of the os calcis. New York Med J 95: 1025Google Scholar
  7. 7.
    Shopfner CE, Coin CG (1966) Effect of weight-bearing on the appearance and development of the secondary calcaneal epiphysis. Radiology 86: 201PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • M. A. Heneghan
    • 1
  • T. Wallace
    • 1
  1. 1.Department of Radiology, School of MedicineState University of New York at Stony BrookStony BrookUSA

Personalised recommendations