Presentation
The authors present a case of a 13-year-old boy who was a competitive youth team football player. He presented with anterior, spontaneous knee pain and swelling at the inferior pole of the patella. [pubmed.ncbi.nlm.nih.gov]
Presentation of the case The authors present a case of a 13-year-old boy who was a competitive youth team football player. [kundoc.com]
More than 70 acute pediatric presentations are covered in a signs and symptoms section designed with side tabs for easy access. [books.google.de]
History and clinical findings A 12-year-old boy presented to a paediatric rheumatology clinic with a 2-month history of painful knees. [sajch.org.za]
Entire Body System
- Swelling
There was associated swelling of both knees, but no early-morning stiffness or deformities were described. [sajch.org.za]
In these patients the lower pole of the patella appeared irregular, fragmented, with swelling of the cartilage and thickening at the insertion of the patellar tendon. [moh-it.pure.elsevier.com]
Ultrasound (US) can depict all the manifestations of this disorder: swelling of the cartilage, tendon thickening, fragmentation of the lower pole of the patella and bursitis [4e6]. [kundoc.com]
Sinding Larsen Johansson disease: Sinding Larsen Johansson disease with cartilage swelling and fragmentation of the lowerpole of the patella, hyperechogenicity of Hoffas fat ... [ultrasoundcases.info]
He presented with anterior, spontaneous knee pain and swelling at the inferior pole of the patella. Ultrasonography (US) confirmed clinical diagnosis showing lesions typical of the Sinding-Larsen-Johansson syndrome. [pubmed.ncbi.nlm.nih.gov]
- Disability
You can help by adding to it. ( December 2017 ) Treatment [ edit ] With rest and quadriceps flexibility exercises the condition settles with no secondary disability. Sometimes, if the condition does not settle, calcification appears in the ligament. [en.wikipedia.org]
[…] patellar tendon is thickened with high T2/STIR signal often high T2/STIR signal in the inferior pole of the patella and in in the adjacent fat Treatment and prognosis With rest and quadriceps, flexibility exercises the condition resolves with no secondary disability [radiopaedia.org]
Management would usually involve the following: Activity Modification – this may range from complete rest to minor modifications in training depending on the severity of the pain and extent of disability Strengthening – If there is an obvious lower limb [newcastle-physiotherapy.com.au]
; Some case series have shown that operative therapy can alleviate signs in sufferers with mature skeletons who proceed to have disabling symptoms. 14, 15 SINDING-LARSEN–JOHANSSON DISEASE Fragmented coronoid course of (FCP) of the elbow joint is the [whjfyuao.ml]
[…] osteochondroses of the knee have also been called ‘non-articular osteochondroses’, since they occur in ossification centres that are submitted to traction, not to compression stress. 6 Other pathologies to consider in an adolescent with knee pain, tenderness and disability [sajch.org.za]
- Cerebral Palsy
Children with cerebral palsy are particularly prone to SLJ 4. Diagnosis [ edit ] This section is empty. [en.wikipedia.org]
Children with cerebral palsy are also prone to SLJ 4. The presentation is with point tenderness at the inferior pole of the patella associated with focal swelling. Plain radiograph Early findings are subtle or absent. [radiopaedia.org]
Children with cerebral palsy are particularly prone to it. The disease most often is seen in males who play sports like football, running, volleyball, gymnastics. [boneandspine.com]
There is also an increased risk in children with cerebral palsy (a disorder that affects muscle tone, movement and coordination and is usually caused by brain damage that occurred before or during childbirth) also have an increased risk of having this [sportnova.co.uk]
Children with cerebral palsy are also prone to SLJS[4]. Etiology[edit | edit source] SLJS is caused by traction on the patellar ligament, causing inflammation at the insertion of the proximal ligament into the inferior pole of the patella. [physio-pedia.com]
- Soft Tissue Swelling
[…] when evaluating the soft tissue. [sajch.org.za]
Background Knee pain Probably traumatic (traction injury) origin Closely related to Osgood-Schlatter's Clinical Children and adolescents 10-14 years Knee pain aggravated by activity Tenderness and soft tissue swelling over the inferior pole of the patella [emed.ie]
Resisted knee extension may elicit pain and there may be some localized soft tissue swelling. [physio-pedia.com]
The clinical examination of the patient revealed a diffuse tenderness and soft tissue swelling over the lower pole of the affected patella. The rest of the physical examination has shown no-remarkable findings. [jortho.org]
Radiographs are helpful to confirm the clinical diagnosis, and typically show soft tissue swelling and edema over the tibial tuberosity and one or more small foci of ossification at the tibial tuberosity. [radsource.us]
- Localized Pain
Sinding Larsen Johansson Syndrome Symptoms When you suffer from SLJ, you can feel tenderness or swelling at your knee’s front and suffer from a localized pain. [newhealthadvisor.com]
Musculoskeletal
- Muscle Strain
Common overuse injuries include: Osgood-Schlatter disease (tibia) Sever’s disease (heel) Little leaguer’s elbow Sinding-Larsen-Johansson disease (knee) Periostitis ("shin splints") Stress fracture Muscle strain Initial treatment for many of these syndromes [bostonoandp.com]
Injuries Corked Thigh Thigh Strain Hamstring Strain ITB Syndrome Popliteus Syndrome Muscle Strain (Muscle Pain) Cramps DOMS - Delayed Onset Muscle Soreness Children's Knee Conditions Osgood Schlatter's Sinding Larsen Johansson Syndrome Other Knee-Related [physioworks.com.au]
- Muscle Weakness
Lower extremity strength needs to be tested, especially at the ankle and the hip to find any muscle weaknesses that may be contributing to the overuse syndrome. [physio-pedia.com]
- Joint Swelling
You should contact or see your doctor if there is an obvious deformity of the knee, there is knee joint swelling, the pain is not improving after two weeks of rest, or the pain is associated with a fever. [sandiegouniontribune.com]
- Muscle Spasm
[…] condition as they have muscle spasms. [sportnova.co.uk]
- Restless Legs Syndrome
Fracture Overuse Injuries Restless Legs Syndrome Sciatica Knee Surgery Knee Arthroscopy Knee Replacement Call PhysioWorks Book Online [physioworks.com.au]
Treatment
Initial treatment for overuse injuries includes R.I.C.E. (rest, ice, compression, and elevation). [stlouischildrens.org]
Paul Benfanti are board-certified sports medicine specialists at Children's Orthopaedic and Scoliosis Surgery Associates, renowned for their high quality care in the treatment of pediatric over-use injuries. [chortho.com]
Treatment for Sinding Larsen Johansson Syndrome Physiotherapy assessment and treatment is a proven benefit for Sinding-Larsen-Johansson syndrome sufferers. [physioworks.com.au]
Treatment for Sinding-Larsen-Johansson disease Most patients with this condition heal well with appropriate physical therapy. The success rate of treatment is largely dictated by patient compliance. [athleticedge.biz]
TREATMENT As with all sporting conditions, correct diagnosis and treatment should be encouraged. [lifecare.com.au]
Prognosis
[…] useful in the assessment of extensor mechanism injuries. the proximal and posterior part of the patellar tendon is thickened with high T2/STIR signal often high T2/STIR signal in the inferior pole of the patella and in in the adjacent fat Treatment and prognosis [radiopaedia.org]
Prognosis This is a self-limiting condition in that it is safe to continue playing sport but the pain will limit the level of function whilst performing the activity. [newcastle-physiotherapy.com.au]
Prognosis The prognosis in Osgood-Schlatter disease (OSD) is excellent. [emedicine.medscape.com]
Prognosis As the skeleton matures, symptoms usually improve and, in this way, it is regarded as a self-limiting process. However, symptoms may be present for at least a year. [patient.info]
Prognosis of Sinding-Larsen-Johansson disease Sinding-Larsen-Johansson disease is a self limiting condition that gradually resolves as the patient moves towards skeletal maturity. [athleticedge.biz]
Etiology
Its Etiology and Natural History." The Journal of Bone and Joint Surgery. American Volume, vol. 60, no. 8, 1978, pp. 1113-6. Medlar RC, Lyne ED. Sinding-Larsen-Johansson disease. Its etiology and natural history. [unboundmedicine.com]
The etiology appears to be a traction tendinitis with de novo calcification in the proximal attachment of the patellar tendon, which had been partially avulsed. [ncbi.nlm.nih.gov]
Sinding-Larsen-Johansson disease: its etiology and natural history. J Bone Joint Surg Am 1978;60:1113-1116. 3. Robert C, Medlar RC, Dennis Lyne E. Sinding-Larsen-Johansson disease: its etiology and natural history. [sajch.org.za]
Epidemiology
[…] anterior knee pain at the inferior pole of patella at the proximal patella tendon attachment similar to Osgood-Schlatter's disease which is at the distal attachment of the patella tendon differnt from Jumper's Knee which is tendonitis of the patella tendon Epidemiology [orthobullets.com]
Juvenile osteochondrosis of tarsus, right ankle M92.62 - Juvenile osteochondrosis of tarsus, left ankle Sindig-Larsen-Johansson Disease ICD-9 732.4 (juvenile osteochondrosis of the lower extemity, exlcuding foot) Sindig-Larsen-Johansson Disease Etiology / Epidemiology [eorif.com]
Osgood-Schlatter Disease: Background, Etiology, Epidemiology ; Dec 20, 2018 ... Author: James R Gregory, MD; Chief Editor: Craig C Young, MD more. ... as Sinding-Larsen-Johansson syndrome (the adolescent equivalent of ... [whjfyuao.ml]
Epidemiology[edit | edit source] Unlike "Jumper's Knee" which is seen at any age, SLJS is seen in active adolescents, typically between 10-14 years of age. Children with cerebral palsy are also prone to SLJS[4]. [physio-pedia.com]
Repetitive sprinting and jumping sports A study by Nakase et al found that quadriceps femoris muscle tightness and strength during knee extension and flexibility of the hamstring muscles were risk factors for incidence of Osgood-Schlatter disease. [6] Epidemiology [emedicine.medscape.com]
Pathophysiology
[…] which is at the distal attachment of the patella tendon differnt from Jumper's Knee which is tendonitis of the patella tendon Epidemiology demographics more common in adolescence Location patellar tendon insertion at the inferior pole of the patella Pathophysiology [orthobullets.com]
Pathophysiology The Sinding-Larsen-Johansson syndrome is caused by persistent traction at the cartilaginous junction of the patella causes chronic stress injury with overuse of the patella-patellar tendon junction. [boneandspine.com]
Pathophysiology Osteochondroses all involve a defect in ossification. [patient.info]
This proposed pathophysiology is supported by the repetitive runner, jumper athletic patient population OSD occurs most commonly. [emedicine.medscape.com]
Private Practice, Michalow Grabina, Poland Abstract This paper tries to describe reasons, pathophysiological sequence of events, including the sequelae, and location of the traumatic tears of the ossification center of the tibial tuberosity in adolescents [docplayer.net]
Prevention
Exercises may be necessary for the entire length of time of the growth spurt in order to prevent recurrence. [iskinstitute.com]
Be sure to consult your child's doctor if there is a prolonged, visible deformity of the affected area, or if severe pain prevents use of the arm, leg, wrist, ankle, or knee. [stlouischildrens.org]
Diversifying their activities, as well as ensuring periodic rest, may help prevent overuse injuries. [sportsmedtoday.com]
Treatment Options for Sinding-Larsen-Johansson Disease While there is no 100% guarantee to prevent an active adolescent athlete from developing Sinding-Larsen and Johansson Disease, warming up and stretching before and after an activity may help to prevent [chortho.com]
How Can You Prevent SLJ Syndrome? The most important thing you can do to prevent getting SLJ is to stop doing an activity that causes pain in your knee at the first signs of irritation. Then, try to limit your activity until the pain goes away. [kidshealth.org]