A 10-year-old female dancer presents with sub-acute onset pain located in her lateral ankle and foot without any history of significant trauma. She has had similar pain occasionally over the past 6 months. Pain is worse while dancing and now has difficulty putting on her shoe. You obtain a foot x-ray and see the adjacent image (photo credit).
What is the most likely diagnosis, differential diagnosis, and appropriate management plan?
For more cases like these, you can subscribe to the Ortho EM Pearls email series hosted by Drs. Will Denq, Tabitha Ford, and Megan French, who have kindly shared some of their content with ALiEM.
- Iselin H. Growth problems at the time of bony development of tuberosity metatarsi quinti. Langenbeck’s Archives of Surgery 117.5 1912;117(5):529-535. https://doi.org/10.1007/BF02794784
- Lehman RC, John RG, and Torg E. Iselin’s disease. The American journal of sports medicine 1986;14(6):494-496. https://www.ncbi.nlm.nih.gov/pubmed/3799877
The post SplintER Series: Ankle and Foot Pain in a Child appeared first on ALiEM.