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Apophysitis is term used for an overuse upon injury unique to the skeletally immature athlete and comprises a significant proportion of musculoskeletal complaints in the athletes. The apophysis is a secondary ossification center that serves as the attachment site for a muscle-tendon unit. Multiple factors may cause to the development of apophysitis in an athlete. Majorly, during the time of rapid growth, such as the pubertal growth spurt, the growth of bone exceeds the stretch or hold ability of the muscle-tendon unit and instead of stretching sufficiently to maintain its previous level of flexibility, it causes increased tension at the attachment site. Apophysitis mostly presents itself first with gradual onset of pain without a specific history of injury, however it may also present itself as persistent and/or worsening symptoms after a single traumatic event. Athletes generally localize their pain to the apophysis.
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