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conferenceseries.com
Volume 8 Journal of Sports Medicine & Doping Studies
ISSN: 2161-0673 Sports Medicine 2018
November 14-15, 2018
November 14-15, 2018 | Edinburgh, Scotland
4th International Conference on
Sports Medicine and Fitness
Iselin’s disease: Case report and literature review
Thomas Jan Gaetan Mathieu
University of Antwerp, Belgium
Iselin’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 Jones’ fracture, a
stress fracture of the base of the fifth metatarsal or an os vesalianum. To the authors’ knowledge, there are no collected data or
published clinical series of Iselin’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 Iselin’s disease to provide an opportunity to better
understand the clinical and radiographic characteristics, differential diagnosis and treatment of Iselin’s disease. A systematic
literature review of articles published in the world literature focusing on Iselin’s disease was performed. The researchers
identified 17 cases of ID through an extensive PubMed and EMBASE search of the literature for the terms Iselin’s disease and
traction apophysitis of the fifth metatarsal. Iselin’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.
Thomas Jan Gaetan Mathieu, J Sports Med Dop Stud 2018, Volume 8
DOI: 10.4172/2161-0673-C2-017