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October 2001
By Theodore E. Keats, MD
An eight-year-old boy complains that his heel has been in pain
for two weeks. What is your interpretation of the lateral film of
his foot?
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ANSWER
The radiograph is normal. The density of the calcaneal apophysis
and its division into several segments (arrows) all reflect normal
growth patterns. These changes should not be misinterpreted as evidence
of aseptic necrosis or osteochondritis.
Emerg Med 33(10):85, 2001
This series of diagnostic quizzes that will challenge your ability
to read a variety of x-ray films is edited by Dr. Keats, professor
of radiology and professor of orthopedics at the University of Virginia
School of Medicine in Charlottesville.
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