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Apophysitis

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Apophyses are bone nuclei of adolescence that are connected to the actual bone via their cartilaginous apophyseal joint. They are of particular clinical relevance where larger tendons and ligaments attach. The apophyses, as well as their joints, are particularly active during growth and represent potentially injury-prone areas, especially in developing young athletes during critical phases of growth.
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Apophysitis are part of the growth-related diseases within youth athlete population. Despite their high incidence within this growing cohort, many doubts remain. The physiopathology is still debated. Initially, the fragmentation of the ossification center was seen as the main factor of the disease. For few years, this theory has been questioned due to consistent signs of tendon suffering. Apophysitis may have some negative long-term effect on a sporting career. There is currently poor scientific evidence on the optimal management and no treatment has been widely accepted.
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