Traction apophysitis of the fifth metatarsal base in a child: Iselin's disease

BMJ Case Rep. 2014 May 15:2014:bcr2014204687. doi: 10.1136/bcr-2014-204687.

Abstract

Although Iselin's disease, apophysitis of the fifth metatarsal base, is not infrequent in clinical practice, it is accepted as a rare cause of lateral foot pain in young adolescents. Usually a simple clinical examination and radiographs are sufficient for diagnosis. We present a patient with Iselin's disease and discuss its clinical and radiographic characteristics, differential diagnosis, aetiopathogenesis and treatment.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Child
  • Female
  • Follow-Up Studies
  • Foot Diseases / complications
  • Foot Diseases / diagnostic imaging
  • Foot Diseases / therapy
  • Humans
  • Metatarsal Bones / diagnostic imaging*
  • Metatarsal Bones / physiopathology
  • Musculoskeletal Pain / diagnostic imaging
  • Musculoskeletal Pain / etiology
  • Osteochondritis / complications
  • Osteochondritis / diagnostic imaging*
  • Osteochondritis / therapy*
  • Pain Measurement
  • Radiography
  • Restraint, Physical / methods
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents, Non-Steroidal