The disease of the head of the knee joint: symptoms, diagnosis, treatment, prevention

If you do not know how to identify and treat the head of the header, read in the article.

The disease of the Osgud-Slater (osteochondrosis of the anterior tibial tubercle) manifests itself from 10 to 15 years. Although the disease is more common in guys, this state of affairs changes when girls become more active in sports. It is believed that etiology is traumatic, due to the excessive thrust of the tint of the patella on an immature epiphyseal insert, leading to micro-destruction. The “difficult” name of this pathology comes from the unification of the names of the two doctors who first described it at the beginning of the 20th century: Robert Bailey Osgood and Karl Shalutter.

The disease of the head of the knee joint: Symptoms

This is a benign frivolous pathology, classified as a form of osteochondrosis of the anterior tibia apophysis.

• Osteochondrosis is a degenerative process that affects the bones.
• The front apophysis of the tibia is a hillock tubercle located just below the knee. Here the tendon of the patella, the structure that connects the patella and lower leg is inserted.
• The disease is often found on a bilateral basis - on both knees.

The disease shows symptoms such as:

• The appearance of protrusions is just below the knee
• Knee pain, which increases after physical activity
• Edema and heating of the knee.

This is mainly happening when the quadriceps compressed, the tendon of the patella is in tension at the point of its tibial insert. The mechanism, repeating again and again, leads to the displacement of the tibia apophysis. Therefore, it will strive to ossify not in its natural place. Hence the appearance of a bulge. The onset of the disease may be associated with a hereditary predisposition.

Diagnosis of the disease of the head of the header

In the event of an osgud-shelter disease, the clinical examination will reveal the obvious tuberosity and pain at pressure, straightening and flexion of the knee. Often boys report a feeling of pain even when climbing the stairs.

After the examination, it is usually recommended to perform:

• The X -ray knee, in order to confirm the presence of bone projection under the patella, sometimes also shows fragmentation of the bone.
• Ecographic and magnetic resonance to evaluate the severity of the disease, and then choose the most suitable treatment.

The treatment of the disease of the header

This, as a rule, is limited to the syndrome (it tends to spontaneous resolution) and rarely causes problems, or constant violations. However, there are many ways to reduce pain and make it more tolerant until the problem is solved.

The specialist can advise:

1. Full or partial rest, depending on the case.
2. Local ice applications (cryotherapy).
3. Physical therapy (exercise therapy), if necessary, painkillers are prescribed.
4. Ultrasound therapy. The procedure is carried out by a physiotherapist to reduce inflammation and stimulation of healing after several injuries, including the OSGUDA-LEADER syndrome. As the name implies, uses sound frequencies emitted by crystals, which act positively on the cells and tissues of the body. Although sometimes one session is enough to feel relief, it is likely that 3-5 sessions will be required to completely improve. Ultrasound treatment is painless and lasts about 10-20 minutes.
5. Massage of deep muscle tissue is an excellent tool for mild or moderate tension. Fights with inflammation and promotes relaxation. Start with half an hour of massage, focusing mainly on the muscles of the hips and knee area. If the massage therapist believes that there is an accumulation of cicatricial fabric, he can use the cross -friction technique in the knee cup.

   

6. Acupuncture.This practice includes the introduction of thin needles into certain body points in order to keep pain and inflammation under control. As a rule, this is painless therapy, and you should try, especially immediately after the appearance of the first symptoms. The acupuncture is based on the principles of traditional Chinese medicine and works, stimulating the body to secrete certain substances, including endorphins and serotonin, which act as natural painkillers.
7. During physical activity, it is often recommended to use a bracket for a knee joint, a kind of strap that is located under the knee cup and serves to ensure stability and not encumbling the joint.
8. If necessary, painkillers are prescribed.

Prevention of the disease of the hatter

Of course, we cannot prevent our children and adolescents from engaged in physical activity, but it must be remembered that the main trigger mechanisms of the disease are:

1. Excessive loads of sports activities.
2. Physical activity on soil unsuitable for training.
3. Poor prevention of preventive and compensatory ergonomics.

Best advice - First of all, do not neglect the pain in the knee and see a doctor immediately.

Founding measures:

• The inclusion of protocols of preventive and compensatory work in the training program immediately.
• Support for specialists who can identify problems of this type.
• Creation of collective work with specialists in the field of prevention, evaluation and rehabilitation.
• Curtain for irritations and pain in adolescents.
• Periodic execution of screening assessment of the condition of the joints.

There must also be constant information for the awareness of parents and, in the case of older children, themselves.

Video: How is the Shalutter disease expressed?