The reason I am wrinting about this is because I have it on my right knee. so STOP asking me why me knee got bump and why ok?
Osgood-Schlatter disease (also known as tibial tubercle apophyseal traction injury) is an inflammation of the growth plate at the tibial tuberosity, and is one of a group of conditions collectively called osteochondroses. The condition is named after the American surgeon Robert Bayley Osgood (1873–1956) and the Swiss surgeon Carl Schlatter (1864–1934), who independently described the disease in 1903
Causes
The condition is caused by stress on the patellar tendon that attaches the quadriceps muscle at the front of the thigh to the tibial tuberosity. Following an adolescent growth spurt, repeated stress from contraction of the quadriceps is transmitted through the patellar tendon to the immature tibial tuberosity. This can cause multiple subacute avulsion fractures along with inflammation of the tendon, leading to excess bone growth in the tuberosity and producing a visible lump.
Symptoms
Pain and swelling directly over the tibial tubercle is most common. Point tenderness is noted on examination.
Pain is aggravated by loaded knee extension activity, especially activity with power or impact characteristics. Symptoms may occur with activities of daily living (ADLs) such as walking and using stairs.
The symptoms usually resolve with treatment but may recur as a new episodes until skeletal maturity, when the tibial epiphysis fuses.
Treatment
Diagnosis is made clinically,[5] and treatment is conservative with rest and simple pain reduction measures of ice packs and if required paracetamol (acetaminophen) or ibuprofen. The condition usually resolves in a few months, with a study of young athletes revealing a requirement of complete training cessation for 3 months (on average) and gradual resumption of full training by 7 months.[6]
Bracing or use of plaster of paris to enforce joint immobilization is rarely required and does not necessarily give quicker resolution.[7] Surgical excision may rarely be required in skeletally mature patients.[8]
After symptoms have resolved, a gradual progression to the desired activity level may begin. In addition, predisposing factors should be evaluated and addressed. Commonly quadriceps and/or hamstring tightness is present and should be addressed with stretching exercises. Training factors such as intensity and repetition should also be evaluated and addressed.
Saturday, July 19, 2008
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