puma kicks created
by the cleated shoe can increase the amount of heel cord pull on the calcaneal
epiphysis, by dorsiflexing an ankle joint which may already be limited due to
muscle contracture secondary to growth spurts. A combination of repetitive
overuse through soccer practice and games, with the negative heel position
created by the use of air max shoes,
place the young athlete at risk for developing not only calcaneal apophysitis
but also tendinitis of the posterior heel cord (tendo Achilles), and plantar fasciitis.
Very few epidemiology studies to date have been done which look at the
relationship between the use of cleated shoes and air jordan shoes sustained by young
athletes. Micheli LJ, Fehlandt AF Jr., reviewed 724 cases of tendinitis or
apophysitis that were diagnosed in 445 patients seen in the Sports Medicine
Division at Boston Children's Hospital between 1980 and 1990. Age of the
patients ranged between 9-19 years. Of the 38 soccer injuries noted in boys
dealing with tendiits or apophysitis, 18(47%) were diagnosed as calcaneal
apophysitis, 9(24%) were diagnosed as nike
shox r4, 4(soccer jerseys)
were diagnosed with tibialis posterior tendinits. A total of 82% were due to
either calcaneal apophysitis or heel cord tendinitis. Of the 26 soccer injuries
noted in girls dealing with tendinitis or apophysitis, 8(31%) were diagnosed as
calcaneal apophysitis, 6(23%) were diagnosed as tibialis posterior tendinitis,
4(15%) were diagnosed as Achilles tendinitis. Results totaling football shirts supplier were due to
either calcaneal apophysitis or heel cord tendinitis. According to Micheli and
Fehlandt, both Sever's disease and heel cord tendinitis make up the majority of
replica football shirts resulting
from either tendinitis or apophysitis (boys=42% girls=69%).