Osgood-Schlatter disease - causes, symptoms , treatment


1. Symptoms Shlyattera

2. disease diagnosis

3. treatment of disease Shlyattera

4. consequences of disease Shlyattera

Osgood-Schlatter diseaseis a disease that is characterized by the appearance of degenerative lesions (necrosis) of the head of the tibia.

Tibia is a long tubular shin bone, the upper part of which, connecting with the femur, forming the knee joint.In the case where the tendon extends from the cup popliteal powerful front muscles of the thighs and has a constant pulling pressure on the knee joint, - premature wear occurs tibial tuberosity tissues and thus, Osgood-Schlatter disease occurs.

As a rule, the disease affects one foot, but in some cases may be affected and both lower limbs.The formation of the disease Shlyattera promote employment such sports where there is a heavy load on the musculoskeletal system of man (hockey, football, basketball, volleyball, weightlifting and track and field, tennis, skating, aerobics, traumatic wrestling).

The disease usually develops in children and adolescents (from an average of 10 to 18 years), mainly boys, becausemales more susceptible to increased physical activity.In addition, a variety of injuries and knee injuries also increase the risk of disease.As experts point out, a favorable prognosis.

remainder of this article describes the symptoms of the disease Shlyattera, treatment of this disease and its modern methods of diagnosis.It also provides information on the impact of Osgood-Schlatter disease, arising from the lack of necessary therapy.

Symptoms Shlyattera

To the main symptoms of the disease include Shlyattera:

  • pain that increases with walking;
  • pain in the lower part of the knee;
  • soft tissue swelling in the knee tendon;
  • pain during squatting and bending sore feet;
  • regularly occurring seizures sharp cutting pain at the site of inflammation.

Osgood-Schlatter disease develops silently, slowly, so patients rarely associate it with a certain injury.For a long time the only symptom Shlyattera pointed to the patient may be a slight pain in the knee flexion or, for example, when climbing stairs.At the same time there are no clear signs of inflammation, but they can occur after heavy physical exertion quadriceps (eg, after intensive sports training).In this case, there is swelling in the area of ​​the tibial tubercle, and the patient has an expressive pain during walking or running, as well as with active flexion-extension shin.Pain subsides at rest.

On palpation knee specialist can reveal local pain and swelling of tissues.In addition, the symptom of the disease is Shlyattera smoothing circuits tibial tubercle due to swelling.

Some parents are convinced that this disease may eventually pass on their own, if the child will not be exposed to high physical loads on the leg.But, as practice shows, this tactic is not always justified.Often the "mechanism" of the disease has already started, and even an absolute load exception can not stop it.In cases when a child complains of pain arising regularly in the knee joint or swelling of the knee joint, it is necessary to show it to the doctor-surgeon.

disease diagnosis

Osgood-Schlatter disease can be detected by x-ray diffraction studies and radionuclide scanning.In some cases, additional prescribed ultrasound of the knee joint.

In this disease X-ray is performed to detect changes in the existing on-site attachment of patellar tendon (the tendon of the popliteal cups).Unlike X-rays, radioisotope scanning makes it possible to examine the bone structure.This procedure is painless and is that the patient is administered into a vein nizkoradiaktivny special solution that gets in his bones.After 4 hours, when the liquid is absorbed by the bones in the desired degree, the doctor performs the scan using a special camera, which is moving along the said patient areas of the body, conducting the necessary research.

Just for the diagnosis of the disease can be used computed tomography (CT) and magnetic resonance imaging (MRI).

Treatment Shlyattera

disease Mild disease Osgood-Schlatter disease treatment involves reducing the load on the knee joint, as well as the absolute exclusion of the activity, which contributes to trauma tibia: jumping, running, kneeling.In addition, to avoid the negative consequences of Osgood-Schlatter disease, it is recommended to replace the traumatic sports more forgiving.

In the case of subacute (regularly repeated) tear fracture, immobilization of the knee joint carry plaster splint in extension.Approximate duration of fracture healing is about two months, and the pain in the knee joint should disappear.In order to accelerate the healing of fractures, physiotherapy recommend such techniques as electrophoresis alternately with novocaine and calcium, mud, paraffin and ozokerite.In

if treatment does not lead to the disappearance of the pain, and the disease progresses (there are significant bony overgrowth and limited mobility in the joint), the treatment of disease Shlyattera performed surgically.

In carrying out this operation, the surgeon removes the dead bone fragments and bone overgrowth that allows to reach the fracture of the tear seam and accordingly, the resumption of the knee joint.

Regarding the postoperative period, the patient is prescribed a range of treatments (massages, physical therapy, exercise therapy) in order to restore the strength and elasticity of the quadriceps muscle, as well as the mobility of the knee.In addition, the patient's health positively impact sanatorium treatment.

With regard to drugs, when this disease used anti-inflammatory and pain medications.Prognosis of the disease is favorable, but in some cases after a successful therapy for life preserved in the form of deformation of bumps under the knee joint.In addition, after recovery a person may experience aches and nagging pains in the knee joint with a sharp change in weather.

consequences of disease Shlyattera

In that case, if the therapy is not carried out, and the load will remain the same, there may be some effects of Osgood-Schlatter disease.These include the existence of a long fracture which regularly manifests sensitivity and pain in the knee joint, as well as violation of the mobility in it.

If conservative therapy did not lead to the recovery of the patient, that throughout his life he retained such consequences Osgood-Schlatter disease, a bone growths spherical, rounded shape.In fact, they are painless and will not affect the function of the joint.

Surgical treatment of diseases Shlyattera usually provides a complete cure of the patient.After the operation, the knee joint activity recovered in full.In addition, as pointed out by experts, people in 1,5-2 months after surgery may continue active sports.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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