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The lower limb
Published in Ffion Davies, Colin E. Bruce, Kate Taylor-Robinson, Emergency Care of Minor Trauma in Children, 2017
Ffion Davies, Colin E. Bruce, Kate Taylor-Robinson
Osgood–Schlatter disease (Figure 9.10) is a traction apophysitis of the patellar tendon as it inserts into the tibial tuberosity, particularly common in sporty children during late childhood and early adolescence. It is bilateral in about a quarter of cases and often takes up to 18 months to resolve. Localised pain is felt at the tibial tuberosity, and symptoms are worse following activity and improve with rest. On examination a lump is seen or felt around the tibial tuberosity, due to microfractures and subsequent callus formation. The lump may be tender.
Paediatric orthopaedic disorders
Published in Maneesh Bhatia, Tim Jennings, An Orthopaedics Guide for Today's GP, 2017
Sunil Bajaj, Nicholas Nicolaou
Diagnosis is clinical and routine radiographs are not necessary. If symptoms are persistent or there is significant swelling not typical of Osgood–Schlatter disease, x-rays of the knee must be done. Fragmentation of the tibial tubercle physis with soft tissue swelling may be seen on x-ray of the knee (Figure 1.21). Fragmentation should not be mistaken for a fracture.
Paediatric lower limb trauma
Published in Sebastian Dawson-Bowling, Pramod Achan, Timothy Briggs, Manoj Ramachandran, Stephen Key, Daud Chou, Orthopaedic Trauma, 2014
Tibial tubercle avulsion typically results from jumping activities, such as basketball or long jump, because of eccentric quadriceps contraction. Osgood-Schlatter disease may predispose to this injury. It is usually an isolated fracture, typically occurring around the age of 14 years, and almost exclusively in boys.
Prevalence of asymptomatic radiological findings in the groin region: a systematic review
Published in The Physician and Sportsmedicine, 2020
Jonas Massa, Frederik Vanstraelen, Stijn Bogaerts, Koenraad Peers
There also seems to be an influence of age distribution as factor of heterogeneity between the included papers. An interesting finding is that the study with the youngest study population, with a mean age of 16.1 years old [9], showed the highest prevalence of pubic BME. This is true for both BME grade 1–3 (72%) and BME grade 2–3 (61%). These described prevalences are remarkably higher compared to the studies with older age groups. One possible explanation could be the combined effect of growth and physical activity on the bone, likewise as Osgood–Schlatter disease sometimes show edema-like changes on MRI [23,24]. On the other hand, the sample size is quite small (18 soccer players) which gives less interpretable results [25].