Paediatric knee conditions

Question 1

if kid presents with knee pain what else should you also examine

for what condition specifically

Answer 1

hip

SUFE

Question 2

which type of extensor mechanism rupture occurs in adolescent boys

Answer 2

Osgood schlatters disease

Question 3

where is the inflammation in Osgood schlatters disease

Answer 3

inferior attachment of patellar tendon to tibial tubercle

Question 4

treatment of anterior knee pain in adolescent females

Answer 4

nothing

physio to rebalance muscles

Question 5

aetiology of anterior knee pain in adolescent females

Answer 5

muscle imbalance

Question 6

complications of anterior knee pain in adolescent females

Answer 6

osteoarthritis later in life

Question 7

investigations for an adolescent with knee trauma

Answer 7

MRI - for ligaments

xray - for fracture/dislocation

Question 8

crack in articular cartilage and underlying subchondral bone in teenagers bc of shear stress on joint

usually medial femoral epicondyle

Answer 8

osteochondritis dissecans (OCD)

Question 9

teenager with joint ‘catching and locking’

Answer 9

osteochondritis dissecans (OCD)

Question 10

in osteochondirits dissecans (OCD) if an area of the knee surface looses its blood supply what can happen

Answer 10

a bit of bone can break off

Question 11

investigation for osteochondiritis dissecans (OCD)

Answer 11

MRI (xray doesnt look at cartilage)

Question 12

treatment for osteochondritis dissecans (OCD) of the knee

Answer 12

nothing - heals itself

surgery - pin broken bone back into place

Question 13

‘jumpers knee’

Answer 13

patellar tendonitis (from quads muscle to patella)

Question 14

what type of extensor mechanism rupture occurs in jumpers (eg netball, squatting)

Answer 14

patellar tendonitis