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Osgood Schlatters Disease

What is Osgood-Schlatter disease?

Osgood-Schlatter disease is probably the most frequent cause of knee pain in children. The condition occurs most commonly in children between the ages of 9 and 16 years but it can occur in younger children. Both boys and girls are equally vulnerable to its debilitating effects. Osgood-Schlatter disease is always characterized […]

SPECIFIC TESTS-Medial shearing

Significance

This test is used to detect internal derangement at the inner side of the knee. Pain on jerk is suggestive for a minor lesion at the tibial insertion of the anterior cruciate ligament.

Positioning.

The subject lies in the supine position with the knee flexed to a right angle, and the heel resting […]

Patellar Instability or Mal – Tracking

SYMPTOMS

The knee feels unstable or weak, or gives way in association with recurrent pain around the anterior part of the knee, with or without preceding trauma. It is particularly common in young female athletes.

AETIOLOGY

This condition can be caused by inherited conditions such as patella baja or alta, genu valgus or […]

Slipped Capital Femoral Epiphysis

Basics Description SCFE is a disorder of the hips of adolescents or preadolescents in which the femoral head is displaced relative to the rest of the femur. The femoral head remains in the acetabulum. Most notable features: The outward rotation of the lower femur and leg and a limp Classification: Stable versus unstable (1): […]

Prepatellar Bursitis

Basics Description Prepatellar bursitis is an inflammation of the bursa in front of the patella. Bursae are located between structures to reduce friction. These sacs are lined with a membranous synovium that produces and absorbs fluid; they are subject to acute or chronic trauma or infection and to low-grade inflammatory conditions such as gout, […]

Osteochondritis Dissecans of the Knee

Basics Description A pathologic joint entity of localized bone necrosis with overlying cartilage injury Osteochondritis dissecans primarily affects the knee, but it is also seen in the hip (in late Legg-Calve-Perthes disease), elbow, and ankle. Osteochondritis dissecans occurs primarily in the 2nd decade of life, but it also is seen in children and older […]

Knee Pain

Basics Description Knee pain has many causes, including pathologic processes in the knee and disorders in distant locations with referral to the knee area. Diffuse or located in a specific region A characteristic history and physical examination frequently narrow the diagnosis. Classification: Traumatic Acquired Risk Factors Athletic activity Obesity Sedentary lifestyle Etiology Traumatic injury […]

Knee Dislocation

Basics Description Dislocation of the knee is an orthopaedic emergency. The most common causes are motor vehicle accidents, followed by sports and falls from heights. Classification: Anterior Posterior Medial Lateral Rotary: Subclassified as anteromedial, anterolateral, posteromedial, posterolateral General Prevention Seat belts and airbags are the best methods of prevention. Epidemiology Incidence Rare Associated Conditions […]

Hip Arthritis

Basics Description Hip arthritis is caused by loss of the articular cartilage of the acetabulum and proximal femur. As the cartilage is lost, the subchondral bone of the proximal femur and the acetabulum rub, causing pain with ambulation, loss of motion, and disability. General Prevention Low-impact exercise (swimming, biking, walking) Activity modification Weight loss […]

Blount Disease

Basics Description Bowing of the legs can be a normal stage of growth for infants and toddlers. This phase is called physiologic bowing and resolves spontaneously by approximately 2 years of age. The vast majority of children presenting with bowed legs have this benign physiologic state. More rarely, bowed legs may be pathologic. The […]