The goal is to stop the knee from moving so that inflammation and pain go away. The pain often worsens with activity and eases with rest. Simply having your child ice their knee can assist with the inflammation and relieve a great deal of the pain. The fluid lubricates the area and reduces friction. Massage for the quadriceps, hamstrings, and calf muscles may also be used. If your child ignores or plays through the pain, the disease may get worse and not heal very well. When surgery is needed, however, the usual operation involves removing the raised area of the tibial tuberosity, the bursa, and the irritated tissue nearby. This is how bones grow in length and width. They will assess the stability of the knee joint to determine if the laxity of the ligaments and tissues surrounding the knee joint are contributing to the problem. The foremost aim of treatment at West Vancouver Sports and Orthopedic Physiotherapy is to decrease the inflammation and pain in the knee. All exercises given will be required to be completed not only in the clinic but also as part of a home program. © 1999-2017 Orthogate. Many adults who had a lesion as a child still have pain when kneeling on that knee. Orthotics, or shoe inserts, may also be suggested. Exercises that simulate going down stairs or jumping will be prescribed. This irritation can result in Osgood-Schlatter syndrome. Try These 7 Exercises for Patellar Tracking, Subluxation, & Dislocation. Learn about our expanded patient care options and visitor guidelines. The retractors are removed. In this case, the X-ray will help the doctor see if the tibial tuberosity fractured as a result of the trauma. Strength imbalances will also affect the alignment of the knee and can cause muscles to tighten, which in turn may cause increased stress on the patellar tendon and tibial tuberosity. Wearing a brace can help your child get back to playing soccer, basketball, running, skating, or climbing stairs without pain. Again, in dealing with pain from Osgood Schlatter Disease, any discomfort should be strictly heeded. http://orthoinfo.aaos.org/topic.cfm?topic=a00411. In an Osgood-Schlatter lesion, the tibial tuberosity will probably be enlarged and painful. Related Document: A Patient's Guide to Knee Anatomy. The condition, however, may leave a permanent, painless bump below the knee and the area may always be tender when pressure is applied to it. By removing the bone fragments, your or your child’s knee can function fully without pain from Osgood-Schlatter disease. There is also a high risk that the cortisone will cause the patellar tendon to rupture. In addition, the lesion seems to run in families; when one child is affected, there's a 30 percent chance a sibling will have it, too.This guide will help you understand: The Osgood-Schlatter lesion affects the tibial tuberosity. Surgery for Osgood-Schlatter disease can help patients get back on their feet, but there can be side effects to this operation. Are you able to tolerate the pain while playing your sport at your usual intensity? X-rays may be taken to look at the bones of the knee and leg and to more closely examine the area where the kneecap tendon attaches to the shinbone. By eliminating the bone parts, the knee can operate completely with no pain. Exercises such as mini squats on a soft mat or standing on a wobbly surface are simple exercises that improve proprioception, and will also improve muscle strength and overall endurance. Hollyburn Medical Centre
This angle is called the Q-angle.
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