...Osgood-Schlatter; Robert Osgood and Carl Schlatter independently described this painful overuse condition of the tibial tuberosity in 1903. “Osgood-Schlatter disease is common in active adolescents, possibly caused by multiple small avulsion fractures from contractions of the quadriceps muscles at their insertion into the proximal tibial apophysis.” (Ilgen, 2013, p. 1). When a child complaints about pain and swelling under the patella, Osgood-Schlatter might be suspected (Moore, 2012). Osgood- Schlatter might be scary when you first hear the name, but it is not as bad as people think. Osgood-Schlatter is classified as an overuse injury because it is a progressive injury that happens over time. Moore believes the Osgood-Schlatter is caused...
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...Definition: An Osgood-Schlatter lesion involves pain and swelling in the small bump of bone on the front of the tibia (shinbone), right below the kneecap. It occurs in children and adolescents. The problem affects the area where bone growth occurs. Too much stress on the growing bone causes the pain and swelling. The pain often worsens with activity and eases with rest. Fortunately, the condition is not serious. It is usually only temporary. –By eorthopod.com Alternative Names: Osteochondrosis –By MedlinePlus Causes, Incidence, and Rick factors: During activities that involve a lot of running, jumping and bending — such as soccer, basketball, volleyball and ballet — your child's thigh muscles (quadriceps) pull on the tendon that connects the kneecap to the shinbone. This repeated stress can cause the tendon to pull away from the shinbone a bit, resulting in the pain and swelling. –By MayoClinic The condition is the most frequent cause of knee pain in children between the ages of 10 and 15. The problem used to happen mostly in boys. But with more girls playing sports, boys and girls are now affected equally. Because girls' skeletons begin to mature earlier than boys, girls tend to have this condition when they are one to two years younger than boys. Kids who play sports have this condition 20 percent more often than nonathletes. –By eorthopod Age: Osgood-Schlatter disease occurs during puberty's growth spurts. Sex: More common in boys (13-14). Girls (11-12). Sports: The condition...
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...Overstretched (pulled) or torn muscles result in stiffness and pain. The main muscles supporting the knee are the quadriceps and hamstrings. Increasing the duration and intensity of exercise or any activity too quickly often cause muscle strain. Mild muscle strains heal quickly. Top ^ Iliotibial Band Syndrome (ITBS) The iliotibial band is a fibrous band of tissue that runs down the outer thigh, from the hip (ilium) to just below the knee, inserting into the shinbone (tibia). It helps provide stability to the outer side of the knee joint, particularly during running. Iliotibial band syndrome is irritation / inflammation of the iliotibial band (the inflammation is usually not visible) that causes lateral knee pain. This condition is most common in long-distance runners and cyclists. Symptoms of Iliotibial Band Syndrome (ITBS) Though the pain usually occurs on the outer side of the knee just above the knee joint, it may also occur over the entire iliotibial band or just below the knee, where the iliotibial band inserts into the shinbone (tibia). The pain usually sets in slowly, often after running for several minutes. It is relieved by resting and aggravated by activity - running, cycling, or walking. Causes and Contributing Factors of ITBS Overuse: Increasing running or cycling distance too quickly and/or not giving the body time to recover between runs can lead to irritation and inflammation of the iliotibial band. Running uphill, downhill, on a slope, on hard surfaces...
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...Technically speaking, there are many factors that can contribute to the development of a sport injury. The pressure to complete, open growth plates, and growth and muscle imbalance are the three risk factors discussed. So essentially, children at a young age feel forced to complete through pain, have a physis with relative weakness in comparison to the adjacent ligaments and tendons, and partake in vigorous training regimens and drills that puts unnecessary strain to a growing body. After listing risk factors, Stein and Mitchell list various overuse injuries; Patellofemoral pain, Osgood-Schlatter disease, Calcaneal apophysitis, Little League elbow, Little League Shoulder, spondylosis, and osteochondritis dissecans. Each overuse injury is split into subcategories; what the injury is and where it stems from, how it occurs at a young age, and treatment options. For example, Stein and Mitchell share that Osgood-Schlatter disease is a traction apophysitis of the tibial tubercle; an overuse injury that results from repetitive contraction of the quadriceps muscle and extensor mechanism, which puts stress on the attachment point of the patellar tendon at the tibial tuberosity. The disease occurs due to adolescent muscular tightness, and some treatment options include ice therapy, oral nonsteroidal anti-inflammatory drugs, and iontophoresis. Stein and Mitchell effectively discuss risk factors for overuse injuries, and the most commonly ones seen in young...
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...third most common site of stress fracture in children. In young adults, the pain is commonly experienced in the anterior thigh and typically can be reproduced by asking the patient to hop on the affected leg. Plain radiographs are usually negative early in the course of the fracture, with a bone scan or MRI being the test of choice for diagnosis. Choice “D” is not the best answer. The use of NSAIDs in the management of LCP of the hip is not warranted, but may be if the patient was diagnosed with an osteoid osteoma or Osgood Osgood-Schlatter disease. An osteoid osteoma is a relatively common benign bone tumor with the proximal femur being the most common site of occurrence. It may occur in all age groups however most patients present in the teenage years. The pain is typically nocturnal and aching, and it responds rapidly to NSAID therapy. It may be visible as a lucency with surrounding cortical thickening on plain radiograph or CT. Osgood-Schlatter disease, also known as osteochondritis of the tibial tubercle, is a traction apophysitis of the proximal tibial tubercle at the insertion of the patellar tendon caused by overuse. It typically occurs in the 13–-14 year old boys, with the most common presenting complaint being anterior knee pain that increases gradually over time, from a low-grade ache to pain that causes a limp and/or impairs activity. Pain is made worse by direct trauma, kneeling, running, jumping, squatting, climbing stairs, or walking uphill, and is relieved...
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