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What is Osgood-Schlatters
Disease?
This is a common condition in which a child or
adolescent (usually 9-14 years) complains of pain at
the front of the knee joint just below the kneecap.
It
is more common in boys (but does occur in girls at a
slightly younger age) and is caused by a ligament
pulling repeatedly on a growing bone. It usually
only affects one knee but can affect both.
Essentially, the bony protrusion below the knee(
called the tibial tuberosity) becomes inflamed.
The patella tendon inserts here and through overuse
can tug away at the bone causing inflammation. New
bone grows back causing a bony lump.
Symptoms
Swelling
just below the kneecap Tenderness and pain on the
tibial tuberosity during and after exercise.
Pain when contracting the quadriceps against
resistance. An x-ray is needed to confirm and
to see how much damage has occurred. This
Disease can occur in one or both knees. Also very
common it can be accompanied with Severs Disease
which is inflammation of the Achilles Tendon.
Prevention
The only prevention of both these Diseases are
proper stretching exercises before during and after
exercise.
Tight quadriceps muscles cause a “tugging” stress on
the patellar tendon where it inserts into the tibial
tuberosity, so doing stretching exercises for the
quadriceps, hamstrings and calves may help prevent
this condition.
Stretching and flexibility should focus on the
quadriceps and hip flexor muscles and should be done
before, during and after each bout of activity. EG:
Straight Leg Hamstrings Stretch, Standing,
Quadriceps Stretch and Lifting up onto your toes
then rolling back onto your heels lifting your toes
off the ground.
Also the use of Orthopedic inserts in their shoes
and footy boots can help especially if their ankles
roll inwards.
Treatment
.I.C.E
Rest, Ice, Compression, Elevation. Sometimes if
severe needs to be put in a cast so the injured knee
is made to rest. Once the pain has completely
gone your child can slowly resume activities and
work on the leg to regain strength.
The pain can recur and if it does the treatment
needs to be restarted. |