Osgood schlatters disease
Osgood-Schlatter disease is really a condition characterised by pain and tenderness within the most prominent bony part over the tibia just beneath the front with the knee (the tibial tubercle). Oahu is the commonest kind of traction apophysitis.
Osgood Schlatter
Clinical presentation:
It always occurs in children in the age bracket of 10-14 years specially those involved in running or jumping sports. It is almost Four times commoner in boys than in girls. It really is characterised by anterior knee pain and tenderness which worsens on activity. A normal feature is difficulty in kneeling down.
Symptomatology:
Pain, tenderness and swelling over the tibial tubercle
Pain can be elicited by pressing upon the shin inside a flexed knee position with the subject wanting to extend against resistance
traditional cases show weakening and eventual wasting from the quadriceps on the affected side
traditional cases also show limited ability of knee flexion
Investigations:
X-ray: usually not required as diagnosis is clinical. However, when performed, it shows soft tissue swelling over the tibial tubercle in addition to fragmentation from the tibial tubercle (both features when within combination are considered diagnostic).
Indications for X-ray:
when diagnosis is in doubt
each time a more serious injury (avulsion from the tibial tubercle) is suspected
much more spite of a good treatment, symptoms are relieved
Treatment:
Reduced activity is probably the best mode of treatment esp. in severe cases
In milder cases, some activity level can be permitted to be practiced
To lessen the amount of traction force about the tibial tubercle, a graded flexibility program for your quadriceps and hip flexors is undertaken
Strengthening with the quadriceps is yet another good way to reduce traction on the tibial tubercle
Abnormalities of joint movements like hyperpronation along with patellar malalignment needs to be corrected by educating the topic in addition to undertaking exercise programs and orthotics
Prognosis
Usually very good
Calcification can happen in a tiny number of cases; symptoms persist longer, instability from the knee joint can happen. Such cases may require surgical intervention.
Osgood Schlatter
Clinical presentation:
It always occurs in children in the age bracket of 10-14 years specially those involved in running or jumping sports. It is almost Four times commoner in boys than in girls. It really is characterised by anterior knee pain and tenderness which worsens on activity. A normal feature is difficulty in kneeling down.
Symptomatology:
Pain, tenderness and swelling over the tibial tubercle
Pain can be elicited by pressing upon the shin inside a flexed knee position with the subject wanting to extend against resistance
traditional cases show weakening and eventual wasting from the quadriceps on the affected side
traditional cases also show limited ability of knee flexion
Investigations:
X-ray: usually not required as diagnosis is clinical. However, when performed, it shows soft tissue swelling over the tibial tubercle in addition to fragmentation from the tibial tubercle (both features when within combination are considered diagnostic).
Indications for X-ray:
when diagnosis is in doubt
each time a more serious injury (avulsion from the tibial tubercle) is suspected
much more spite of a good treatment, symptoms are relieved
Treatment:
Reduced activity is probably the best mode of treatment esp. in severe cases
In milder cases, some activity level can be permitted to be practiced
To lessen the amount of traction force about the tibial tubercle, a graded flexibility program for your quadriceps and hip flexors is undertaken
Strengthening with the quadriceps is yet another good way to reduce traction on the tibial tubercle
Abnormalities of joint movements like hyperpronation along with patellar malalignment needs to be corrected by educating the topic in addition to undertaking exercise programs and orthotics
Prognosis
Usually very good
Calcification can happen in a tiny number of cases; symptoms persist longer, instability from the knee joint can happen. Such cases may require surgical intervention.