Osgood-Schlatter's Disease

There was a girl who loved playing volleyball, she played all the time hoping to get better. Due to this, she had to fall on her knees a lot so as to not let the ball touch the ground. After some time she noticed her knees stayed swollen and it hurt. Worried her knees will stay like that, she went to the doctor to be diagnosed. They told her it is a disease called Osgood-Schlatter and she shouldn’t worry too much, it will probably disappear eventually. Although, she will need to reduce her hours of exercise for some time, since she could injure her knee more.

Osgood-Schlatter disease is an inflammation of an area below the kneecap called the tibial tubercle.

11/18/15 Progress Report documented a follow-up visit. The patient presented with a history of right knee pain, stating the current level of pain is a 5/10. On exam, the physician indicated the patient had a tentative gait with ecchymosis to the right lower extremity. The patient had a 20 cc effusion to the right knee. There was tenderness of the tibial tubercle in the medial joint line. There was also tenderness of the patellar tendon. The physician indicated that the patient is progressing in physical therapy and recommended the patient continue to regain full function of the knee.

I enjoyed reading your discussion. Carson Palmer's story reminded me of my nephew's best friend. Last year, I went to Sweden to visit my family and my nephew who loves soccer. He has a best friend who also is in the team. But he have Osgood-Schlatter disease which it is cause painful lump below the kneecap. I honestly never heard it before so his mom explained that it can affect to children who are experiencing growth spurts. He can't sleep well and often cry a lot because of the pain. It took longer to recover which it is 6 to 24 months or when they are stop growing. I can't imagine how they been through and It is very common case. I have to research more about it.Thank you for sharing.

Shin Splints, medically known as Medial Tibial Stress Syndrome, refers to a pain along long bone in the lower leg (Tibia). This condition is a physical activity-related problem that is usually common to athletes(runners), dancers, and military recruits. We often experience this pain even on a simple activities such as morning jog, brisk walking, or even catching a bus to take a ride to work.

“The hamstrings and quadriceps are important to the stability of the knee joint. When there is a deficit in the strength of a hamstring, in comparison to that of quadriceps, an athlete is more likely to be predisposed to an ACL injury” (Krick, 2001, pg. 5). “Female, athletes in specific, rely heavily on their quadriceps to jump and pivot, therefore, a female’s quadriceps are stronger than their hamstrings. Because female athletes heavily rely on their quadriceps more, it reduces their knee stability” (Krick, 2001, pg. 6).

The most important way to treat Osgood-Schlatter is prevention and early detection of any abnormality that might lead to suspicion of Osgood-Schlatter in adolescents. Therefore rest, proper nutrition, Non-steroidal anti-inflammatory drugs. Physical therapy can be helpful by stretching and strengthening, which can decrease muscle imbalance of the quadriceps, hamstrings, calf muscles, and iliotibial band which can decrease the onset of Osgood-Schlatter in athletes. The uses of techniques such as ART or Graston which are for soft-tissue can also helpful (King M & King, 2009). Another way to help the athlete will be to teach them the proper way to do a squat and how to apply those skills to properly be able to facilitate explosive motions such as sprinting and

The first thing to do if you think you may have shin splints is to rest. Take some time off exercising. Ice your shins 3-5 times a day. Over the counter pain relievers might help to ease the pain as well. If rest, ice, or pain relievers do not work, then consulting a doctor may be necessary to see if the injury has formed into something worse. A doctor may help ease the pain quicker if you are an athlete and need to recover

The patient has difficulties ambulating stairs. Her pain is waking her up at night. She failed to improve with the plethora of conservative treatment entailing physical and acupuncture therapies, activity modifications, home-type exercise, injections, medications. On physical examination, the patient is utterly uncomfortable. She ambulates with antalgic gait. Well healed incisions are noted on the left knee. Patellar crepitus noted on the flexion and extension of the right knee with medial and lateral joint line tenderness more so in the medial side. McMurray's test is positive medially. Patellar crepitus is noted together with pain in patellar compression. Patient’s Voltaren gel was refilled. Patient was recommended to undergo right knee arthroscopy with partial meniscectomy and lateral patellar release surgery. She failed to improve with above mentioned conservative treatment. Any further conservative treatment will be of no benefit. Patient was also recommended 12 PT sessions for the right knee

What is osteogenesis imperfecta (OI)? OI, formally known as Brittle Bone Syndrome, is a genetic bone disorder that affects the body’s ability to make bones strong which causes the bones to fracture easily, often without any apparent cause. OI affects the collagen in your body which not only makes your bones strong, but also helps the rest of your body stay strong as well. There are 8 different types of OI and all of them differ in range of severity. Type 1 OI is the most common and the mildest form of the 8. OI Type 2 is the most severe. OI can even vary greatly between individuals of the same family (“Osteogenesis Imperfecta,”n.d.). Most cases of OI are caused by a dominant genetic defect. This means that only one copy of the mutation is necessary

The term “Osteogenesis Imperfecta” means imperfect bone formation. OI is a genetic bone disorder that results in weak, fragile bones that break easily. OI can also cause muscle weakness, brittle teeth, and hearing loss. There are eight recognizable forms of

Osteoarthritis (OA) is a chronic degenerative and progressive condition affecting synovial joints, which mainly causes degeneration of hyaline cartilage; Although OA can affect any joint containing hyaline cartilage; Its effects take place most often in the weight bearing joints of lower extremities and the most common large joints involved are knee joints [1].

Osteoarthritis is the most common form of arthritis. It occurs when the protective cartilage on the ends of your bones wears down over time. Osteoarthritis often gradually worsens, and no cure exists. But staying active, maintaining a healthy weight and other treatments may slow progression of the disease and help improve pain and joint function. Osteoarthritis occurs when the cartilage that cushions the ends of bones in your joints gradually deteriorates. Cartilage is a firm, slippery tissue that permits nearly frictionless joint motion. In osteoarthritis, the slick surface of the cartilage becomes rough. Eventually, if the cartilage wears down completely, you may be left with bone rubbing on bone. These symptoms can develop slowly and worsen

Osteomyelitis is a medical term used for a bone infection which is usually caused by

Osteochondritis Dissecans (OCD) refers to the death of subchondral bone and the subsequent separation of an articular cartilage segment.1 In Juvenile OCD, lesion are found in skeletally immature children (whose growth plate have not yet closed) usually occurring between the ages of 10 and 20.1 It is more commonly found in males, especially in those who are active and involved in organized sports.1