Download Osgood Schlatters Disease jordan demchuk

What is it?
• Osgood Schlatters disease is a very common
cause of knee pain in children and young
athletes usually between the ages of 10 and
15. It occurs due to a period of rapid growth,
combined with a high level of sporting activity
Anatomy
• Femur:
– Thighbone
– Articulates with hip joint above and knee joint below
– The femur and tibia form the major portion of the knee joint,
• Tibia:
– Thick bone in the front of the lower leg or shin
– The tibia supports all of the body's weight below the knee joint.
• Patella:
– Kneecap
– The patella protects the front of the knee joint.
– Connected by tendons above and below
Tendons
• Quadriceps tendon:
– Attaches the quadriceps muscle to the kneecap
• Patellar tendon:
– Attaches the patella to the tibia
• Popliteus tendon:
– Extends from the outer bottom surface of the femur and
travels diagonally behind the knee to attach to the inner
upper surface of the tibia.
• Hamstring tendons:
– Attach the hamstring muscles to the tibia
• Calf tendons:
– Attach the calf muscles to the femur
Ligaments
• Lateral collateral ligament:
– Stabilizes the knee from stress applied to the sides of the
knee
• Medial collateral ligament:
– Stabilizes the knee from stress applied to the sides of the
knee
• Posterior cruciate ligament:
– Stabilizes the knee from stress applied to the front or back
of the knee
• Anterior cruciate ligament:
– Stabilizes the knee from stress applied to the front or back
of the knee
Cartilage
• Medial meniscus
• Lateral meniscus
Signs and Symptoms
• The patient complains of constant aching and
pain and tenderness over the tibial tubercle,
which worsens during any activity that causes
forceful contraction of the patellar tendon on
the tubercle, such as ascending or descending
stairs, running, jumping, or forced flexion
Special tests
• The Examiner forces the tibia into internal
rotation while slowly extending the patient’s
knee from 90 degrees of flexion; at about 30
degrees, flexion produces pain that subsides
immediately with external rotation of the
tibia.
• Bone scan may show increased uptake in the
area of the tibial tuberosity
Treatments
•
•
•
•
Ice
Strengthening of quads and hamstrings.
Rest
Patience
Rehabilitation
• Ice
• Rest
References
• www.wrongdiagnosis.com
• www.Wikipedia.org
• www.familydoctor.org