This chapter reviews the common and uncommon injuries of the ankle and foot in children and adolescents in sport. The ankle is the most commonly injured body part during sport, with ankle sprains being the most injury seen. They are estimated to account for 20% of all sports injuries in the USA. Prevalence is highest in basketball, ice skating and soccer. The differences between injuries in children, due to the unfused physes, and adults is discussed. Ligamentous injuries are reviewed. Normal, physiologic MR signal patterns around the ankle are mentioned. The Ottawa ankle and foot rules regarding radiography in ankle and foot injuries are explained. Other injuries that are reviewed include osteochondral lesions, in particular the talus, hindfoot fractures, physeal bar and osteochondroses (Sever, Kohler, Freiberg, Mueller-Weiss). Lastly, tarsal coalition, an abnormal, congenital union between bones of the hind and midfoot are discussed.
Bone Marrow Edema Ankle Sprain Metatarsal Head Subtalar Joint Osteochondral Lesion
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De Smet AA, Fisher DR, Burnstein MI, Graf BK, Lange RH (1990) Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. AJR Am J Roentgenol 154:555–558PubMedGoogle Scholar
De Smet AA, Doherty MP, Norris MA, Hollister MC, Smith DL (1999) Are oblique views needed for trauma radiography of the distal extremities? AJR Am J Roentgenol 172:1561–1565PubMedGoogle Scholar
Ecklund K, Jaramillo D (2002) Patterns of premature physeal arrest: MR imaging of 111 children. AJR Am J Roentgenol 178:967–972PubMedGoogle Scholar
Elias I, Zoga AC, Morrison WB, Besser MP, Schweitzer ME, Raikin SM (2007) Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int 28:154–161PubMedCrossRefGoogle Scholar
Haller J, Sartoris DJ, Resnick D et al (1988) Spontaneous osteonecrosis of the tarsal navicular in adults: imaging findings. AJR Am J Roentgenol 151:355–358PubMedGoogle Scholar
Lateur LM, Van Hoe LR, Van Ghillewe KV, Gryspeerdt SS, Baert AL, Dereymaeker GE (1994) Subtalar coalition: diagnosis with the C sign on lateral radiographs of the ankle. Radiology 193:847–851PubMedGoogle Scholar
Loder RT, Swinford AE, Kuhns LR (1997) The use of helical computed tomographic scan to assess bony physeal bridges. J Pediatr Orthop 17:356–359PubMedCrossRefGoogle Scholar
Madden CC, Mellion MB (1996) Sever’s disease and other causes of heel pain in adolescents. Am Fam Physician 54:1995–2000PubMedGoogle Scholar
Naran KN, Zoga AC (2008) Osteochondral lesions about the ankle. Radiol Clin North Am 46:995–1002, vGoogle Scholar
Newman JS, Newberg AH (2000) Congenital tarsal coalition: multimodality evaluation with emphasis on CT and MR imaging. Radiographics 20:321–332; quiz 526–527, 532PubMedGoogle Scholar
Schachter AK, Chen AL, Reddy PD, Tejwani NC (2005) Osteochondral lesions of the talus. J Am Acad Orthop Surg 13:152–158PubMedGoogle Scholar
Shabshin N, Schweitzer ME, Morrison WB, Carrino JA, Keller MS, Grissom LE (2006) High-signal T2 changes of the bone marrow of the foot and ankle in children: red marrow or traumatic changes? Pediatr Radiol 36:670–676PubMedCrossRefGoogle Scholar
Stormont DM, Peterson HA (1983) The relative incidence of tarsal coalition. Clin Orthop Relat Res 181:28–36PubMedGoogle Scholar
Varner KE, Michelson JD (2000) Tarsal coalition in adults. Foot Ankle Int 21:669–672PubMedGoogle Scholar
Zengerink M, Struijs PA, Tol JL, van Dijk CN (2010) Treatment of osteochondral lesions of the talus: a systematic review. Knee Surg Sports Traumatol Arthrosc 18:238–246PubMedCrossRefGoogle Scholar