Differential Diagnosis for 9-year-old with Ankle Tendion Pain
- Single most likely diagnosis
- Sever's Disease: This is the most common cause of heel pain in children, typically affecting those between 8-14 years old. It is an inflammatory condition of the growth plate in the calcaneus, often related to overuse or repetitive stress on the heel.
- Other Likely diagnoses
- Ankle Sprain: A common injury that can cause pain in the ankle and surrounding tendons, often resulting from twisting or rolling the ankle.
- Tendinitis: Inflammation of the tendons, which can be caused by overuse, poor footwear, or biomechanical issues.
- Overuse Injury: Repetitive stress or strain on the ankle tendons, common in young athletes who participate in sports involving running or jumping.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Osteomyelitis: A bone infection that can cause severe pain, redness, and swelling. Although rare, it is a serious condition that requires prompt medical attention.
- Septic Arthritis: A joint infection that can cause severe pain, swelling, and limited mobility. It is a medical emergency that requires immediate treatment.
- Tumor or Cancer: Although extremely rare, it is essential to consider the possibility of a tumor or cancer, such as osteosarcoma or Ewing's sarcoma, which can cause persistent pain and swelling.
- Rare diagnoses
- Achilles Tendon Rupture: A rare injury in children, but can occur due to trauma or sudden contraction of the calf muscles.
- Rheumatologic Conditions: Such as juvenile idiopathic arthritis, which can cause ankle pain and swelling, although these conditions are relatively rare.
- Neurological Conditions: Such as peripheral neuropathy or nerve entrapment, which can cause pain, numbness, or tingling in the ankle and foot.