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Osgood-Schlatters/Sinding-Larsen-Johnansson

Information

Common cause of knee pain in children and adolescents. It is caused by repeated stress of quads or patella tendon insertion into tibia or inferior pole of patella.  This stress results in this area becoming inflamed and painful. At times a hard, bony bump may appear around the tibial tuberosity.

The most common symptoms of Osgood Schlatters/Sinding-Larsens are:

  • Knee pain either during or after participation in sports or activity
  • Swelling at tibial tuberosity or inferior pole of patella which can be tender to touch.
  • Reduced knee strength
  • Tightness of quads, hamstrings and calves.

These symptoms usually appear gradually and often after periods of growth.

Symptoms can be unilateral or bilateral.

Always check the hip, if the child complains of knee pain

Please give out patient information leaflet

Activity modification – not complete rest, reduce activity, especially those that aggravate pain but continue with activities that do not aggravate pain.

Stretching – hamstrings, quads, glutes and calves

Ice and simple analgesia

Refer to physiotherapy if above measures have been tried and symptoms not settling.