How is tibial tuberosity osteochondritis treated?

Some boys aged 11-15 like to play strenuous sports, especially football. After a while, swelling and pain under the knee gradually appeared. It is noticeable when walking, and aggravated when going up and down stairs.

The pain worsens when the quadriceps muscles contract hard. In the past, it was thought to be tibial tuberosity osteochondritis. Later, pathology confirmed that there was no necrosis or inflammatory changes in the osteochondrage.

It is thought that the repetitive and strong contraction of the quadriceps muscle causes damage to the soft tissue of the patellar tendon attached to the tibial tuberosity, and then heterotopic ossification occurs, forming a local mass. Since there is no exact name, the name tibial tuberosity osteochondritis is still used.

Generally, no special ** is required. Painkillers can be taken symptomatically. Mainly by reducing the amount of exercise, the disease can recover on its own after 4-6 months.

First describe the disease, think of the department.

Partial avulsion of the tibial tuberosity resulting from trauma.

Later, Schlatter reported that it was a traction bone bulge of the tibial tuberosity, so it was also called.

Osgood-Schlatter disease. It is more common in adolescents aged 11-15 years old, who love strenuous sports, more males than females, and can have unilateral or bilateral onset, and most of them have a history of trauma. The disease is mainly.

Tendonitis occurs at the tibial tuberosity attachment of the patellar ligament.

Tenosynovitis. Or.

Subtendon bursitis.

And. Calcification of adjacent lesions.

And. Ossification causes a local carina.

Before the onset of the disease, the child was in a period of rapid growth and development, and the tension and swelling of the patellar ligament attachment increased, causing tibial tuberosity osteoconvitis. Pathological examination of bone fragments and bone embedded in the tendon after excision of the tibial tuberosity revealed cartilage around the cancellous bone without necrosis or inflammation. In the past, it was thought that the quadriceps muscle was attached to the tibial tuberosity, and the tibial tubercle during growth and development was highly susceptible to patellar tendon traction.

Traction injuries cause some degree of avulsion of the cartilage at the nodule. However, in recent years, the majority of cases have been found to be patellar tendon soft tissue injuries attached to the tibial tuberosity. Mild tenosynovitis occurs in the patellar tendon, followed by ectopic ossification on the inflamed patellar tendon.

If you want to know more, you can consult an expert in this area before making a judgment, Shenyang is a densely populated city, and there are several orthopedic hospitals. Avoid misdiagnosis or putting an extra burden on yourself. I can give you a reference material, Shenyang Orthopedic Network

This needs to be timely**, and Chinese medicine lists costochondritis as the category of "chest rib paralysis". It is believed that there are two major factors in the development of the disease: internal and external. The internal cause is weakness of qi and blood, the disharmony between the outside and the inside, the imbalance of yin and yang, and the lack of nourishment of muscles and bones; The external cause is the occasional flick of the chest and ribs, the invasion of wind, cold and dampness, stasis of the muscles and bones, the blockage of the veins, and the impassability of qi and blood.

Qi stagnation and blood stasis, wind and heat invade the meridians, poison and heat are blazing, and qi and blood cannot be contained. If it doesn't work, it hurts.

Costochondritis Powder selects a series of traditional Chinese medicine ingredients with the effect of invigorating blood circulation and qi, clearing stagnation and dissolving stasis, aiming at the source of the disease, wind, cold, dampness, qi and blood stasis, which can achieve the effect of driving wind and removing dampness, harmonizing qi and blood, and applying directly to the external treatment method, with strong medicinal penetration, so as to quickly ** costochondritis stubborn disease.

Costochondritis is scattered in the strychnine to relieve pain, disperse knots and reduce swelling. Rhubarb diarrhea and heat the intestines, cool the blood and detoxify, and chase away stasis and pass through the menstruation. Aracea, borneol, etc. have the effect of dispelling wind and calming shock, reducing swelling and dissipating knots, and are used externally to treat carbuncle and swelling.

Safflower, myrrh, etc. have the effect of invigorating blood paths, dissipating stasis and relieving pain. Frankincense regulates qi and activates blood, relieves pain, chases poison, and cures qi and blood coagulation. Angelica Angelica has the effect of invigorating blood and draining pus, building muscle and relieving pain, and this prescription has a very good effect on costochondritis.

It is recommended that you take a look at this article, which will be helpful for your condition.

Don't be afraid of tibial tuberosity epiphysitis Don't be afraid of tibial tuberosity epiphysis, also known as tibial tuberosity osteochondritis, which is mainly manifested as obvious bulge below the knee joint and feeling sore. Every time I climb the stairs or stairs, the pain gets worse and I have a limp. Because this disease is called osteoplasty, with the word "inflammation", some people may be confused with diseases caused by bacterial infections such as osteomyelitis.

In fact, the disease is not caused by a bacterial infection.

At both ends of the long bones of a newborn baby, many of the small bones are cartilage tissue. These cartilages are the base for the growth of bones. As they age, they slowly grow and ossify, making them taller.

The powerful quadriceps muscles in the front of the thigh are attached to the tibial tuberosity that protrudes below the knee through the patellar ligament. The quadriceps muscles contract, moving the calves and straightening the knees. Tibial tuberosities are also cartilage (also known as epiphysis) at birth, and begin to ossify around the age of 11 and are connected to the lower leg bone with a relatively weak cartilage.

During this period, if the activity of the teenager exceeds a certain limit, the quadriceps muscle is repeatedly stretched or injured locally through the patellar ligament, and the bone protrusion of the tibial tuberosity can be partially avulsed, causing insufficient blood, which in turn causes bone hyperplasia and mild swelling, and the nearby soft tissues will also be affected.

Because the disease is mainly related to activity and injury, it is more common in active middle school students around the age of 11 and 15, and there are more boys than girls, so it is a common disease. But this disease is not terrible and can be cured without treatment. Although the development of bones throughout the body does not stop completely until the age of 25, by the age of 16, this ossification center is fused with the tibia and the development is complete.

At this point, the epiphysis is no longer present and the epiphysis symptoms disappear naturally. If the symptoms are mild, just stop strenuous exercise and rest for a while. In addition to stopping strenuous activity, doctors may give local injections of hydroprednisone and procaine by doctors.

If the effect is not good, you can inject 3 or 4 times in a row, with an interval of 7 to 10 days each time, to prevent ***. **There are generally no sequelae after the posterior, and a very small number of patients are left with knee reflexion deformity or unsightly knee shape, which can be surgically corrected at the appropriate time.

In short, if you have tibial tuberosity epiphysitis, although you will have a limp due to pain, teenagers do not need to worry about sports. As long as you pay attention to exercise science, step by step, do not exceed physiological intensity, prevent injury, find discomfort, and consult a doctor in time, it will not cause adverse consequences.

Free small bone fragments may be avulsion fractures (epiphyseal injuries) caused by trauma at that time, and it is recommended to rest for a period of time, bend the knee joint, and apply local warm compresses to the physical therapy.

Tibial tuberosity osteochondritis can heal on its own with age, and the bone fragments seen on the radiograph are not free, but calcified cartilage. Because the surrounding cartilage is not visible, it looks like a free piece of bone. In this case, if the pain is not obvious, you can reduce strenuous exercise without special **.

If the pain is obvious, it can be treated symptomatically**, and the impact is generally not large. This situation may be related to the fact that children at this age are more fond of sports, and children who play basketball are more common. It usually heals in 4 to 6 months.

I am currently walking with pain in my right hip.

Does it have an impact on growing taller in the future? 1: Hello, for tibial tuberosity osteochondritis, local occlusion has the best effect, and the affected limb should be moved as much as possible.

1. Right hip pain has nothing to do with tibial tuberosity osteochondritis, and it is not recommended to rule out hip synovitis.

2. Tibial tuberosity osteochondritis is more common in 11---14-year-old active boys, mostly unilateral, often with a history of recent strenuous activity or exercise, characterized by pain and lumps that gradually appear at the tibial tuberosity, and there is an obvious relationship between pain and activity. After the age of 18, the symptoms disappear spontaneously with ossification of the tibial tuberosity and the upper tibia, but the local bulge does not change. Before the age of 18, as long as the strenuous activity of the knee joint is reduced, the symptoms will be relieved.

Patients with pain can not apply hot compresses, physiotherapy or short-term immobilization of the knee joint, or can they take Fenpide capsules orally and relax the muscles and blood tablets. I hope my advice is helpful to you, good luck soon**! 3:

It will not affect the growth of the body in the future, and it is recommended to apply local hot compress to physiotherapy or closure.

Tibial tuberosity is mostly unilateral, often with a history of recent strenuous activity or exercise, characterized by gradual pain and lumps at the tibial tuberosity, and there is an obvious relationship between pain and activity.

The disease can disappear on its own with the ossification of the tibial tuberosity and the upper tibia, but the local bulge will not change, as long as the strenuous activity of the knee joint is reduced, the symptoms will be relieved, and the pain can be treated with warm compresses, physiotherapy or short-term immobilization of the knee joint.

Under the guidance of a local doctor, you can take ibuprofen or chlorzoxazone orally appropriately, relax the muscles and activate the blood tablet**, and if necessary, local drugs can be blocked**, and the effect is good.

(1) The cause of the disease.

The tibial tuberosity epiphysis is a tongue-shaped protrusion that extends anteriorly and inferiorly from the epiphysis at the upper end of the tibia. This epiphysis is an extensive epiphysis with the patellar ligament resting on it, subjecting it to constant stretching tension. The epiphysis of the tibial tuberosity appears at about 11 years of age, and at about 16 years of age, the ossification center of the tubercle merges with the ossification center of the epiphysis at the upper end of the tibia.

At the age of 18, the tibial tuberosity fuses with the upper end of the tibia. Before the age of 18 years, there is a proliferative cartilage connection between the tubercle and the main bone. Underneath the cartilage, the new bone is weaker.

Strong quadriceps contraction can cause the disease.

ii) Pathogenesis.

The disease occurs in the young growth period before the epiphysis is not closed, where the blood circulation comes from the patellar ligament, and the quadriceps muscle develops rapidly, and the muscle contraction increases the tension and swelling of the tibial tuberosity attachment of the patellar ligament, causing tibial tubercular osteochondritis. Strenuous exercise or trauma can lead to cumulative strain injuries and even avulsion fractures of tibial tuberosity, which can affect blood circulation and cause avascular necrosis of the epiphysis. Due to fibroblast differentiation and active osteoblast proliferation, the patellar ligament and adjacent soft tissues may ossify and new ossicles may emerge, located anteriorly and above the tibial tuberosity.

The histologic findings of these neostices are identical to those of ossifying myositis ossificate. Due to the traction of the patellar ligament, the activity of osteoblasts at the tibial tubercle promotes bone hyperplasia, making the tibial tubercle enlarge and protrude significantly forward. The proximal tibial epiphysis can fuse early, leading to complications such as high patella and knee reflexion after skeletal maturation.