{"id":4223,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/osgoodschlatterssindinglarsenjohnansson\/"},"modified":"2024-12-30T14:45:52","modified_gmt":"2024-12-30T14:45:52","slug":"osgoodschlatterssindinglarsenjohnansson","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatricorthopaedics\/osgoodschlatterssindinglarsenjohnansson\/","title":{"rendered":"Osgood-Schlatters\/Sinding-Larsen-Johnansson"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">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.&nbsp; This stress results in this area becoming inflamed and painful. At times a hard, bony bump may appear around the tibial tuberosity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The most common symptoms of Osgood Schlatters\/Sinding-Larsens are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Knee pain either during or after participation in sports or activity<\/li>\n\n\n\n<li>Swelling at tibial tuberosity or inferior pole of patella which can be tender to touch.<\/li>\n\n\n\n<li>Reduced knee strength<\/li>\n\n\n\n<li>Tightness of quads, hamstrings and calves.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These symptoms usually appear gradually and often after periods of growth. <br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Symptoms can be unilateral or bilateral.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>M.A. &amp; M-J.S. 17-04-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\">Always check the hip, if the child complains of knee pain<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please give out patient information leaflet<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Activity modification \u2013&nbsp;<strong>not<\/strong>&nbsp;complete rest, reduce activity, especially those that aggravate pain but continue with activities that do not aggravate pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Stretching \u2013 hamstrings, quads, glutes and calves<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ice and simple analgesia<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Refer to physiotherapy if above measures have been tried and symptoms not settling.&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RHCYP-Osgood-Schlatter-Disease-V3.1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">RHCYP-Osgood-Schlatter-Disease-V3.1.pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Sinding-Larson-Johannson-Syndrome-RHCYP-V1.0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Sinding-Larson-Johannson-Syndrome-RHCYP-V1.0.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;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.&nbsp; 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<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[766],"class_list":["post-4223","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-osgoodschlatterssindinglarsenjohnansson"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/paediatric\/paediatricorthopaedics\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-osgoodschlatterssindinglarsenjohnansson\/\" rel=\"tag\">Osgood-Schlatters\/Sinding-Larsen-Johnansson<\/a>","rttpg_excerpt":"&#8203;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.&nbsp; 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","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4223"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4223\/revisions"}],"predecessor-version":[{"id":22315,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4223\/revisions\/22315"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4223"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}