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What is O sgood Schlatters Disease?

What is O sgood Schlatters Disease?. Osgood- Schlatter Disease or Syndrome. Tibia tubercle apophyseal traction injury Rupture of the growth plate at the tibial tuberosity. What is Sinding -Larsen-Johansson Syndrome?. Sinding -Larsen-Johansson Syndrome.

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What is O sgood Schlatters Disease?

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  1. What is Osgood Schlatters Disease?

  2. Osgood-Schlatter Disease or Syndrome • Tibia tubercle apophyseal traction injury • Rupture of the growth plate at the tibial tuberosity

  3. What is Sinding-Larsen-Johansson Syndrome?

  4. Sinding-Larsen-Johansson Syndrome • Patellar tendon and the lower margin of the patellar bone instead of the upper margin of the tibia

  5. What ages?

  6. Boys and Girls ages 9 to 16 Periods of growth spurts

  7. What gender is it most common?

  8. Gender • More frequent in boys than in girls • Male to female ratio 3:1 to as high as 7:1 • Greater participate rate of boys in sports

  9. What sports or activity?

  10. Running • Jumping • Squatting • Stairs • kneeling

  11. Prolong deep knee bending

  12. Causes • Usually self limiting and is caused by stress on the patellar tendon • Stress causes multiple subacute avulsion fractures along with inflammation of the tendon • Leads to excessive bone growth in the tuberosity • Produces a visible lump painful when hit

  13. 50% of patients relate a hx of trauma

  14. Athletes 21% incidence 4.5 % of non-athletes

  15. Pain reproduce • Extending the knee against resistance • Stressing the quadriceps • Striking the knee • Acute phase pain is continuuous and severe

  16. Bilateral observe in 20-30%

  17. Resolve with treatment • Reoocur for 12 -24 monthsbefore complete skeltal maturity • Some cases not resolve until fully grown • 10% symptoms until adulthood

  18. Named after Robert BayleyOsgood and Carl B. Schlatter in 1903

  19. Treatment

  20. P.R.I.C.E. Approach • Protect • Rest • Ice • Compress • Elevate

  21. If you do not follow the price approach, it will cost you

  22. Tx • NSAID • Bracing • quad or HS tightness • Gradual activities (two footed activities) • Rest 3 days, 1-2 weeks modify activities

  23. Strickland Protocol Mean return in less than 3 weeks

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