Iselins disease: Case report and literature review

4^th International Conference on Sports Medicine and Fitness

November 14-15, 2018 | Edinburgh, Scotland

Thomas Jan Gaetan Mathieu

University of Antwerp, Belgium

Scientific Tracks Abstracts: J Sports Med Dop Stud

Abstract :

Iselinâ??s disease (ID) or traction apophysitis of the fifth metatarsal base is a very rare cause of lateral foot pain. Dr. Hans Iselin, a German physician, described this pathology for the first time in 1912. Since then, only 17 cases have been reported in literature. Probably, ID is underdiagnosed due to absence of recognition and the paucity of suspicion. The confusing pathology of the proximal part of the fifth metatarsal can make ID difficult to differentiate from an avulsion fracture, a Jonesâ?? fracture, a stress fracture of the base of the fifth metatarsal or an os vesalianum. To the authorsâ?? knowledge, there are no collected data or published clinical series of Iselinâ??s disease. The purpose of this study was to report a case of ID to show the clinical presence of the pathology and to systematically review the available evidence on Iselinâ??s disease to provide an opportunity to better understand the clinical and radiographic characteristics, differential diagnosis and treatment of Iselinâ??s disease. A systematic literature review of articles published in the world literature focusing on Iselinâ??s disease was performed. The researchers identified 17 cases of ID through an extensive PubMed and EMBASE search of the literature for the terms Iselinâ??s disease and traction apophysitis of the fifth metatarsal. Iselinâ??s disease should be suspected in teenagers around 10-15 years of age who present with lateral foot pain, without trauma in history. Radiographic examination is crucial to diagnose. Management is done by conservative methods in the form of rest, ice packs and an orthosis with a lateral wedge.

Biography :

Thomas Jan Gaetan Mathieu has completed his Master’s degree at University of Antwerp, School of Medicine. He is Doctor Specialist in the department of Physical Medicine & Rehabilitation at the University of Antwerp. Since his graduation as a Medical Doctor, he is very active in the sports medicine. Currently, he is active as one of the Federal Physicians of the Belgian National Football Association and as a Consult Physician of the Royal Ballet School Antwerp. He has published one review article in a reputed journal. His research interest includes Sports Medicine, Orthopedics, Physical Medicine and Rehabilitation.

E-mail: thomasmathieu.5@hotmail.com