Disease Osgood-Shlatter: symptoms, treatment and consequences

How to treat the disease Osgood – Shlatter in children and adults

Disease Osgood-Shlatter associated with blood circulation in the knee, causing gradual destruction of the nucleus of the knee bones. Due to poor blood flow begins inflammation of the cartilage and the tibia.

Most often disease Osgood-Shlatter seen in active adolescents or people involved in sports. It may also occur as a consequence of trauma or overloading of the knee joint.

Long persistent swelling, swelling of the knee, pain with extension and flexion of the feet may indicate the beginning of the process of destruction of cartilage. The disease is quite curable, and in the case of teenage diseases — goes with age, but only the supervision of a physician and careful treatment can help to fully restore mobility.

Why is there disease?

One of the most common causes of disease Osgood-Shlatter are knee injuries of varying severity. In adults, as a rule, the disease develops as a complication after direct trauma:

  1. Fractures of the knee.
  2. Sprains and other damage to the integrity of the knee cartilage.

But most often exposed to disease Shlyattera teenagers whose bodies are developing is not always evenly, but some agencies just «do not have time» to grow to the corresponding sizes. While increasing body mass and the load usually exceeds the capacity of the cartilaginous tissue. Overload of the ligaments leads to disease.

The situation is exacerbated if the child is involved in sports. Squatting, bending, abrupt change of movement, often excessive loads will result in stretching of the tendons of the quadriceps muscle. Because of this, connecting the patella and the tibia is weak and frequent overvoltage lead to constant microtraumas. They can be:

  1. Stretching, followed by swelling and soreness.
  2. Tears of tendons, leading to tumors and swelling in the area of the knee.

Trying to cover the existing void, the body fills it with a small knob of bone that looks like a small benign tumor.

Who is subject to the risk of disease?

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The biggest risk group is adolescent boys from 8 to 18 years, actively involved in sports. According to statistics, 25% of children of that sex and age in one form or another carry the disease Osgood-Shlatter. And only 5% of them are not involved in active sports, and sick due to various injuries or congenital cartilage defects of the knee.

Unfortunately, with the spread of women’s sports is a kind of risk group was formed among adolescent girls. It’s mostly girls from 12 to 18 years, are also actively involved in sports and receiving athletic injury. Since the total life activity of adolescent girls significantly lower than boys, and the risk of disease is lower, at around 5-6 %.

The second significant group of risk — professional athletes, usually young, who suffered a knee injury of varying severity. Microtrauma in adulthood cause of the disease much less frequently.

What types of activities aggravate the risk of disease? Primarily those associated with jumps, jerks, bends, sudden changes of direction, congestion and sprain. At risk get young people involved in the following sports:

  • Athletics.
  • Football.
  • Volleyball.
  • Basketball.
  • Rhythmic gymnastics.
  • Figure skating.

At risk could get professional dancers of areas such as contempo, break and modern dance.

All this does not mean that the teenager or adult is harmful to engage in such sports, but the load must be accurately calculated. Parents of teenagers, especially boys, should monitor the load received by the child, to accustom him to the culture of the sport.

As the disease manifests itself?

The first symptoms of the disease are knee pain that occurs after exercise. The probability that it is not just stretching, increases in the presence in the history of the patient with knee injuries.

Initially, the pain may not occur continuously, but only when serious physical exertion, but eventually the pain sensations appear swelling, it becomes difficult to perform familiar exercises earlier. Besides pain, called a number of other symptoms:

  1. Swelling in the knee region, eventually developing into a tumor.
  2. Persistent swelling at the bottom or top of the knee, manifested after exercise, as well as in the morning.
  3. Shooting pain in the lower part of the knee, manifested during the surge.
  4. Increased pain during exercise.
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Unfortunately, at the initial stage these symptoms pay attention to very few. Pain under exertion or strain and lungs, quickly falling swelling can last for several weeks or even months.

Other characteristics of the process may not be so ailments is often blamed on a minor injury. And only when cutting pain when fully bending knee and swelling are felt, a patient goes to the doctor. To avoid possible complications, medical attention should be contacted as early as possible.

Diagnosis and treatment

To diagnose the disease Osgood-Schlatter, it is necessary to make an x-ray of the problem area. X-rays of the knee will allow you to exclude non — malignant and malignant tumors of different origins, sprains, bruises and other problems of joints with similar symptoms. Additional means of diagnosis is palpation of the tumor, the patient’s complaints to severe pain when a sudden flexion of the knee.

Previously, it was assumed that in children the disease Osgood-Shlatter goes only in adults and should be treated, but this is not true.

Not receiving proper treatment, the disease Shlyattera leaves a heavy consequences in the form of bony knobs and growths under the knee.

In order to avoid consequences with a very pronounced symptoms use the following means of treatment of disease Osgood-Shlatter:

  • LFK. Physical therapy for those suffering from disease Osgood-Shlatter includes exercises to strengthen the knee joint and muscle development of the thigh. Balanced series of exercises for stretching hamstrings and quadriceps will reduce the load on the problem area and will contribute to the improvement.
  • Massage the affected areas with warming and anti-inflammatory ointments. So, perfect troxevazina ointment.
  • Physiotherapy. An ultraviolet irradiation administered to patients with end-stage disease. If the changes are superficial, assigned to the electrophoresis with calcium and procaine, as well as warming.
  • Applying warming compresses.
  • Taking anti-inflammatory and painkillers. Usually prescribed ibuprofen and acetaminophen.
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With timely detection of the disease, a thorough implementation of all prescription and successful use of the above-described methods of conservative treatment of the disease is in a few months and about a year later, the patient returns to normal lifestyle.

But if the disease progresses and conservative methods fail, it is necessary to apply a surgical intervention, namely mechanical removal of the tumor. If you removed the whole portion of the joint affected by degenerative process.

Dead joint replaced with a plastic implant. Of course, such interference is quite a serious step, and therefore are primarily used non-surgical measures.

Possible complications

In severe course of disease after the course of treatment remains bone growth in the form of bumps under the kneecap.

In case of incomplete treatment remain pain, aching pain, which can regularly occur after heavy physical exertion.

Disease Osgood-Shlatter does not only need treatment but also drastic changes in lifestyle.

For the period of treatment and rehabilitation should be excluded exercise, a special diet, do not forget about the healing exercises to prevent overload of the joint.

Disease Osgood-Schlatter quite treatable, but the treatment needs to be approached responsibly.

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