the knee Flashcards
A 13-year-old girl presents to clinic with right knee pain. She is a keen hockey player but has had no recent injuries. On examination there is a painful swelling over the tibial tubercle. What is the most likely diagnosis?
Osgood-Schlatter disease
This condition is a common cause of knee pain in growing adolescents, typically aged between 10 and 15 years old. It is an inflammation of the area just below the knee where the tendon from the kneecap (patellar tendon) attaches to the shinbone (tibia).
what am i
Osgood-Schlatter disease
sx of osgood schlatter
The symptoms usually include pain and swelling over the tibial tubercle, which can be exacerbated by physical activity such as hockey. The condition tends to resolve itself with time, once the child has stopped growing.
cartilage on the undersurface of the patella (kneecap) deteriorates and softens. This condition is most common among young athletes but can also occur in older adults who have arthritis of the knee.
Chondromalacia patellae - runner
anterior knee pain on walking up and down stairs and rising from prolonged sitting
responds to physio
chrondromalacia
Pain after exercise
Intermittent swelling and locking
Osteochondritis dissecans
Medial knee pain due to lateral subluxation of the patella
Knee may give way
Patellar subluxation
More common in athletic teenage boys
Chronic anterior knee pain that worsens after running
Tender below the patella on examination
Patellar tendonitis
loss of blood supply to a part of bone underneath a joint surface which leads to small fragments of bone and cartilage loosening and causing pain.
osteochondritis dissecans
prolonged stiffness after rest or upon awakening; other joints are usually involved too such as hands or feet - not solely one knee.
Juvenile idiopathic arthritis