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2017 ; 6
(2
): 98-101
Nephropedia Template TP
gab.com Text
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English Wikipedia
Kickboxing power hour: case report of fifth metatarsal apophysitis (Iselin
disease) and its magnetic resonance imaging features
#MMPMID28503415
Gupta N
; Sharma K
; Bansal I
; Kumar Y
; Hayashi D
Transl Pediatr
2017[Apr]; 6
(2
): 98-101
PMID28503415
show ga
Youth now-a-days are getting more involved in mixed martial arts, with increasing
number of cases of lateral foot pain due to various causes. The differential
diagnoses of lateral foot pain in the pediatric population include avulsion
fracture of the fifth metatarsal base, Jones fracture, diaphyseal stress fracture
as well as os vesalianum pedis. We present a case of a 15-year-old athletic boy
who presented with left lateral foot pain for a few weeks. The patient was
actively involved in Kickboxing as well as active running. Left foot radiographs
were normal, including normal radiographic appearance of the fifth metatarsal
apophysis. Due to ongoing pain, magnetic resonance imaging of the left foot was
performed, which revealed apophysitis of the fifth metatarsal, known as Iselin
disease. Iselin disease has been postulated to be caused by traction on the fifth
metatarsal apophysis by performing sidekicks or round kicks during the kickboxing
practice. Iselin disease should be suspected in young children of 10-15 years age
involved in physical activity presenting with lateral foot pain. Magnetic
resonance imaging is extremely useful to correctly diagnose this condition and
avoid misdiagnosis of a fracture.