Osgoodschlatters Disease

Cure Arthritis Naturally

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Fig. 121 Anatomical view of the location of Osgood-Schlatter's Disease

Fig. 122 Whilst the tibia apophysis is open, rapid growth can cause increased tension and localised inflammation until the growth plate is closed

Fig. 121 Anatomical view of the location of Osgood-Schlatter's Disease

SYMPTOMS There is gradual onset of localised exercise-induced pain and soreness at rest around the tuberositas tibia of the knee in a young growing athlete, usually 12 to 16 years old, without preceding trauma. It may be bilateral or affect the knees separately, depending on the growth of each leg.

AETIOLOGY The condition is caused by excessive stress to the growth plate (apophysis) where the patellar tendon inserts on the tibia. This condition typically occurs as a result of a sudden growth spurt and is aggravated by jumping and running. It is therefore often misunderstood as an over-use condition in sporty children. CLINICAL FINDINGS There is localised tenderness on palpation over the tuberositas tibia, sometimes associated with swelling and a palpable lump. INVESTIGATIONS X-ray defines the diagnosis and rules out rare bony tumours. TREATMENT This temporary condition should be explained to the child and parents and treated by

Fig. 122 Whilst the tibia apophysis is open, rapid growth can cause increased tension and localised inflammation until the growth plate is closed suggesting temporary modifications in training. The pain will disappear when the growth plate closes. REFERRALS Refer to physiotherapist for planning of a six to twelve months' modified return programme back to full sport.

EXERCISE PRESCRIPTION Avoid painful activities but do not advocate complete rest. It is important to keep these young athletes with their team or in their sport by participating in less painful activities so they don't lose contact and stop playing. Cycling, freestyle swimming and most low-impact activities are good alternatives to keep up general fitness.

EVALUATION OF TREATMENT OUTCOMES

Normal clinical symptoms and signs. DIFFERENTIAL DIAGNOSES Bone tumour (rare but must not be missed).

PROGNOSIS Excellent. However, since symptoms usually last a very long time, many young professional players are wrongly excluded from their team during a sensitive period of their development.

Fig. 123 X-ray of moderate osteoarthritis with slight reduction of joint space

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Fig. 123 X-ray of moderate osteoarthritis with slight reduction of joint space

Fig. 124 X-ray of osteoarthritis grade IV with severe reduction of joint space and osteophytes

Osteoarthritis Grade
Fig. 125 Osteoarthritis grade II, as seen by arthroscopy. X-ray is normal

SYMPTOMS There is gradual onset of diffuse or localised exercise-induced pain and effusion of the knee. The knee is usually stiff and more painful in the morning than in the afternoon. In severe cases there is pain during rest. There are periods of better and worse symptoms. Clicking, crunching and pseudo-locking can occur. It usually affects the gait.

Fig. 126 Grade IV osteoarthritis affecting most of the medial weight-bearing surfaces of the knee

AETIOLOGY Osteoarthritis is a major problem for the general population and affects most weight-bearing joints. It is often secondary to previous trauma such as ACL ruptures and previous meniscus surgery. A typical patient is a footballer or rugby player who continues to play 10 to 15 years after an ACL reconstruction. Primary osteoarthritis is usually bilateral and hereditary. Osteoarthritis is a

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Osteoarthritis

Osteoarthritis

Thank you for deciding to learn more about the disorder, Osteoarthritis. Inside these pages, you will learn what it is, who is most at risk for developing it, what causes it, and some treatment plans to help those that do have it feel better. While there is no definitive “cure” for Osteoarthritis, there are ways in which individuals can improve their quality of life and change the discomfort level to one that can be tolerated on a daily basis.

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