Other common names for the puma kicks are traction epiphysis or apophysis. *This study was made possible from a grant from The American College of Foot and Ankle Orthopedics and air jordan shoes and a soccer shoe donation from NIKE. Three etiological factors which can lead to the inflammation of the calcaneal epiphysis are: increased pressure, increased pull, and overuse are the factors that cause an inflammation of the calcaneal epiphysis.2 air max shoes would increase the direct pressure and tendinous pull, while the repetitive nature of soccer would introduce the third factor listed, overuse. Thus, the sport of soccer exposes young participants to three main factors that can lead to Sever's disease. Soccer shoe design has remained relatively unchanged when compared to other types of athletic shoe gear such as with nike shox r4 (figure 2). Current designs in soccer cleats lack pressure absorption and motion control which can at times place the foot in an unstable position leading to injuries such as:replica football shirts, sprains, strains, tibial fasciitis (shin splints), exertional compartment syndrome, ankle capsulitis/impingement, patelia-femoral dysfunction, and football shirts supplier (figure 3). Lack of motion control, improper arch support can lead to skeletal misalignment leading to postural symptomatology such as medial/lateral knee pain, iliotibial hand syndrome, hip, and lower back pain. Prepubertal long-bone growth spurts often exceed the growth of muscles and tendons. Shortening of the triceps surae group, as a result of the rapid growth of soccer jerseys, may diminish ankle dorsiflexion to less than 10 degrees, possibly creating a strain on the tendon especially at the area of its insertion (calcaneal secondary growth center).