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Iselin's

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Topic updated on 12/26/14 4:51pm
Introduction
  • Iselin's disease is a traction apophysitis of the tuberosity of the fifth metatarsal
  • Epidemiology
    • demographics
      • most often seen in physically active boys and girls between the ages of 8 and 13 years of age
      • common in soccer players, basketball players, gymnasts, and dancers
  • Pathophysiology
    • due to repetitive traction of peroneus brevis tendon at the site of its attachment
Presentation
  • Symptoms
    • pain on lateral foot
      • worse with activity and improves with rest
  • Physical exam
    • tenderness over base of 5th metatarsal
Imaging
  • Radiographs
    • usually normal
Differential
  • Normal apophysis
  • Base of 5th metatarsal fractures
    • may be difficult to differentiate in adolescents
Treatment
  • Nonoperative
    • rest, activity modification, icing
      • indications
        • standard of care as conditions resolves with time

 

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http://upload.orthobullets.com/cases/2651/9954e21a-34a8-4eaa-87d7-33e6bd941f35_xray_1_-_lateral.jpg http://upload.orthobullets.com/cases/2651/6c54d9e0-6286-4ba5-9aec-4f48a55732af_xray_2_-_ap_foot.jpg
HPI - 11M presents with a recent history of trauma to his Right foot with subsequent p...
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