Osgood-Schlatter disease. What is it?
Osgood-Schlatter disease is aosteochondropathy tuberosity of the tibia. This pathology is characterized by localized pain. Osgood-Schlatter disease is found mainly in adolescent boys. Doctors believe that this disease partly arises from the pulling, repeatedly repeated pressure of the tendon in the popliteal calyx, which departs from the powerful anterior group of muscles of the thigh.
Most often, Schlatter's disease occurs in boys aged 9 to 14 - 18 years. This process affects more often one leg, less often both.
Highlight a group of risk, which includes children intensively engaged in the following sports: wrestling, football, hockey, aerobics, weightlifting and other traumatic sports.
Osgood-Schlatter disease is characterized by such symptoms as:
• Pain in the knee during walking, squatting, pressing, physical exertion
• Swelling of the knee joint area (sometimes occurs as a result of trauma)
• Local tenderness of the lower part of the knee
• Knee edema and discomfort in this area
• There is a sharp pain in the front, where the tendon of the knee cap is attached to the tibia.
The disease occurs gradually, the patients rarelyIndicate injury as a starting factor. For a long time, the only symptom that shows Osgood-Schlatter's disease can be pain in the knee joint when climbing a ladder, flexing it, or moving. There are no general, laboratory and clinical signs of the disease.
After increased physical exertion onquadriceps muscle (soccer, squat, etc.), there is a swelling in the region of tuberosity of the tibia. There is pain during squats, jogging and even walking. At rest, the pain passes. The temperature of this region does not increase. The contours of tuberosity are smoothed out by the appearance of swelling, local pain arises when palpation. Its aggravation in this zone occurs with active extension of the tibia, especially when providing little resistance. With the growth of the child, this contour becomes more pronounced, embossed and its dimensions increase.
Osgood-Schlatter disease is diagnosedClinically, since the symptoms of this pathology are typical. X-ray examination is sometimes performed in order to determine the degree of changes at the site of attachment of the patellar tendon. On the roentgenogram, fragmentation or rarefaction of the proboscis process is determined. Ossification of tuberosity is individual, which often complicates X-ray diagnostics: the clinic is the main indicator to correctly diagnose Osgood-Schlatter disease.
Treatment of this pathology consists of the following components:
• Immobilization and ensuring maximum rest of the limb
• Reduce physical activity to a minimum
• Electrophoresis with calcium and procaine
• Physical therapy and massage
• Sanatorium treatment
• Paraffin and mud baths.
Patients with this disease are helpedpainkillers and anti-inflammatory drugs, peace and ice. Over time, this disease usually goes away (immediately after stopping the growth of the tibia). Patients are assigned rest, for which the use of the back gypsum tires, removable tutors; quartz and bathtubs are recommended.
Some patients who have suffered thisdisease, thereafter remain "pineal" swelling on the anterior part of the knee. For their treatment, physiotherapy is shown, they are removed surgically less often - the affected areas are removed with bone allograft fixation. Operative treatment (removal of necrotic foci) is shown only in extremely rare cases.
The prognosis for Schlatter's disease is favorable.