- Discussion:
- classically described as causing heel pain in older children, just prior to fusion of the calcaneal apophysis (between ages 12-15 yrs);
- diff dx:
seronegative arthritis
- it has been argued in the past that the radiographic fragmentation of the apophysis correlated w/ the patient's symptoms;
- as is shown below, however, fragmentation of the apophysis is a normal finding;
- Normal Radiographs: 
Prevention and management of calcaneal apophysitis in children: An overuse syndrome.
LJ Micheli and MO Ireland.
J. Pediatric Orthopaedics.
Vol 7. 1987. p 34-38.
