|
http://upload.orthobullets.com/topic/4073/images/xray.foot.base 5th.jpg
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
 

Please rate topic.

Average 3.3 of 6 Ratings

CASES (1)
GROUPS (1)
Topic COMMENTS (3)
Private Note