Navigating the complex world of pediatric sports injuries can be daunting, especially when it comes to understanding conditions like apophysitis, osteochondrosis, and avulsion fractures. While they may sound similar, these injuries have distinct causes and treatments.

An apophysis is a growth plate where muscles attach themselves. Its fragility compared to surrounding muscles, ligaments, and bones makes it susceptible to traction injuries. Sever’s disease, or calcaneal apophysitis, is one of the most common overuse injuries in children. This condition is characterized by repetitive stress from the Achilles tendon, causing pain at the heel’s posterior aspect.

Another common traction injury among young athletes is Iselin disease, which affects the peroneus brevis tendon at the fifth metatarsal base. Unlike apophysitis, avulsion fractures occur due to acute injuries and affect the secondary apophysis, typically at the pelvis. While uncommon in the foot and ankle, understanding secondary ossification is vital to avoid misdiagnosis.

Osteochondrosis, unlike apophysitis, results from a temporary disruption of blood supply at the bone-cartilage interface. Freiberg disease is the most common form in the foot, primarily affecting females. Diagnosing this condition involves weight-bearing radiographs, revealing characteristic changes in the metatarsal head. Management includes protective weight-bearing, with surgical intervention necessary in advanced cases.

Understanding the nuances of these injuries allows for appropriate management and recovery strategies. Dr. Kris Titko excels in diagnosing and treating foot and ankle injuries in young athletes, ensuring optimal outcomes and swift returns to play.

If your child is experiencing foot or ankle pain, consult Dr. Kris Titko for expert evaluation and care tailored to their needs.