Osteochondritis (Subscribe)
Categories
- Osteochondritis Dissecans (39)
- Osteochondritis Dissecans
- Scheurmanns Disease (0)
- For resources on this subject see bone diseases/spinal diseases/Scheurmanns Disease
Links
Sinding-Larsen-Johansson Disease Cork Emergency Medicine
http://www.muh.ie/ed/handbook/Rheum-Ortho/Sinding%20Larsen%20Johansson ...Children and adolescents 10-14 years
Knee pain aggravated by activity
Tenderness and soft tissue swelling over the inferior pole of the patella.
Probably traumatic (traction injury) origin
Closely related to Osgood-Schlatters
Tendinitis, followed by calcification or ossification.
X-ray - osseous fragmentation at lower pole patella
NOT an apophysitis or osteochondritis.
Patellar fracture or avulsion infrequent.
The calcifications are usually incorporated into the inferior pole of the patella, and the natural course of the condition is 3-12 months.
No need follow up x-ray in most
Treated symptomatically
Also responds to quads strengthening exercises
Rarely, debridement of patellar tendon needed
Sinding-Larsen-Johansson disease Its etilogy and natural history
http://www.ejbjs.org/cgi/reprint/60/8/1113.pdfIn a prospective study of children with pain in the knee, eight patients (ten knees) were seen with the clinical and roentgenographic findings of Sinding-Larsen-Johansson disease. 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. The patients were followed through the course of the disease, which was found to be self-limited and benign like Osgood-Schlatter disease.



