Sunday, July 19, 2015

Osgood-Schlatter disease

Osgood-Schlatter disease is a defeat tibial epiphysis head necrosis. Accompanied by the destruction of bone nucleus under the influence of local overloads, local circulatory disorders and permanent injury. Most often it occurs on one leg, very rarely - in two.

It is dystrophy. It occurs mostly in males. The illness affects adolescents aged 10 to 15 years. However, the way to express and youths up to 18 years. It has a few names:

  •     Osgood-Shlyattera;
  •     osteochondropathy tibial tuberosity.

The symptoms of Osgood-Schlatter disease

Among the main symptoms of the disease are observed: the lower zone of knee pain and swelling. The pain is permanent and is enhanced in the following cases:

  •     pressing;
  •     squats;
  •     folding;
  •     walk;
  •     fiznagruzki.

It does not take even at rest. When relying on the knee area sometimes radiates along the tendons. Also noted soft tissue swelling. Movement of the knee free, but accompanied by pain.

The disease does not occur in a vacuum, as it was assumed earlier. It provokes a number of factors - both external and internal. So, it appears after injuries, bruises, sports, especially where there are elements of active load on your knees. Mostly it susceptible adolescents and youths involved in sports such as athletics (heavy and light), the struggle of all kinds, football, hockey, acrobatics, skiing, volleyball, tennis, basketball.

Pathological process samootgranichivayuschiysya. It provokes a heavy load on the tendon 4 head thigh muscles, which is connected to the tibial tubercle. The pain is localized in the lower area of ​​the knee. Moving covers it completely. Flexion and extension of the joint uncomplicated, but extremely painful. Amplified by repeated loads.

The disease long enough. It ends with the growth of the organism. Prognosis is favorable. However, from time to time after exercise and sports may be manifested recurrent pain in the patellar tendon attachment point. Also in the final is probably the formation gnarled growths below the knee, and the occurrence of rheumatic response to weather changes.


Treatment of the disease therapeutic. It consists mainly of physiotherapy:

  •     electrophoresis procaine and calcium (alternately), aminophylline, cocarboxylase, lidocaine (for eliminating inflammatory processes);
  •     mud baths;
  •     paraffin applications;
  •     shock wave therapy;
  •     Use ozokerite;
  •     local UV irradiation;
  •     massage and so on.

But most importantly - providing rest the affected limb. To do this, use the forced immobilization using plaster cuff. But that, in extreme cases, usually fairly simple limit loads on foot. It plays an important role and a spa treatment. Surgery is rarely used. It consists in fixing a bone graft to the tuberosity of the tibia.