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Treatment outcomes of adolescents with Iselin’s apophysitis

Sylvester, Jillian E.a; Hennrikus, William L.b

Journal of Pediatric Orthopaedics B: July 2015 - Volume 24 - Issue 4 - p 362–365
doi: 10.1097/BPB.0000000000000157
ANKLE & FOOT
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This study assessed the presentations and outcomes of patients treated for Iselin’s apophysitis. A total of 27 patients with Iselin’s apophysitis were retrospectively analyzed for presentation, treatment, and clinical outcome. The mean age of presentation was 11.5 years (range: 9.2–15 years). All patients played sports, and their symptomatic severity and acuity varied. Treatments included rest, footwear modification, use of a controlled ankle movement boot, and use of a post-op shoe. Treatment lasted for an average of 24 days (range: 14–33 days), and the average time to return to play was 38 days (range: 14–53 days). All cases healed, with three reinjuries and no nonunions. Six cases were initially misdiagnosed as a fracture or tendonitis, indicating the need for further education on the diagnosis and natural history of Iselin’s apophysitis.

aPenn State College of Medicine

bDepartment of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Pennsylvania, USA

Correspondence to William L. Hennrikus, MD, Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, 30 Hope Drive, Hershey, PA 17033, USA Tel: +1 717 531 7006; fax: +1 717 531 0216; e-mail: wlh5k@hotmail.com

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