Iselin disease: traction apophysitis base of the 5th metatarsal

Case contributed by Dr. Chris O'Donnell

Presentation

Lateral foot pain for three months. No history of direct trauma.

Patient Data

Age: 12 years
Gender: Male

Elevation, fragmentation and sclerosis of the apophysis with overlying soft tissue swelling.

Edema of soft tissues surrounding the apophysis with bone marrow edema in the apophysis and metaphysis of the 5th metatarsal base.

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