���������ֻҪ���ٻ2��3�ܼ��ɡ�֢״������������ֱλʯ���й̶�4��6�ܣ������������Իָ�ϥ�ؽ�����������ָ�ϥ�ؽھ��һ��������Ҫ4����֮��������ô����⻯�ɵ��������ַ⣬��Ҳ���˷��ԣ�����������Χ����֯ή�������������Է��Զ��ѡ� Show
�������������ʹ��ϥ�����ϰ�����������ϴ��ߣ�Ӧ�����������ơ��ɽ��������֣���һ���ǵ������߽��ֹǽ�ڵ�����Ƥ�ʷ������������Ĺγ���мץ�θɾ����ٽ�Ƥ�ʷ��ԭ���������ɽ����ʹ����ʹ����ͻ�����ֹǽ����С����������״�� ������ѧ�� ����ͷ����������ǿ��ļ��⣬�����ĸ��ŵ�-�ֹǽ����С���ڸõ��Ͼ����ܵ���ǿ�ҵ��������������¢��ֹǽ��˺���Թ��ۣ��ڹ���ͷ�����ף��������������γɡ�������DZ�����ԭ�� ���ٴ����֡� �÷���11��15����к������ֹǽ�ڴ���ʹ��������Ͳ�����ѹʹ�����ۺ���ء��еIJ�������ǰ�о����˶�������ʷ����ʹ����ϥʱ���أ�������Ϊ���۵Ĺ������ձ�Ĺ���ͷ���������£��ڱ�����ϥʱ��ʹ���������ڹ���ͷ��������ǣ�����¡� ������֢�� �����������������ڲ���֢���������ֹǽ�ڹ����������ѣ�����ͷ��ֹ�����ƣ�ʹ�ƹǵIJ���������ɹ��¶˽Ӵ��������ǹؽ��ס����ڹ���ͷ������ʱ����˫���λX��Ƭ���۲��ƹǵ�λ���Ƿ�һ�£�������λ���������������ֹǽ�ڵ��쳣�������������ֹ��Ϲ����ں϶����ϥ������ ��������顿 X�߱��֣�ϥ�ؽڲ�λƬ�����Դ�����λ�ߣ���������а��������ֹǽ�����ֹ��в���ƫ��ࡣ�ڷ������ڣ��ɼ��ֲ�����֯���ͣ����������Լ�����֬�����½���ʧ���Ժ����ֹǽ��ǰ���ɼ�һ�����������������С��Ƭ���ں��ڣ�������Ƭ��������ԣ��ڽ����ֹǽ���й��������� 好发于青春发育期，11～15岁的男孩，多为发育加快，喜好运动者，可有剧烈运动或外伤史。胫骨结节处疼痛，活动后加重。胫骨结节局部可有肿胀，压痛，甚至红热。主动伸膝，被动屈膝或蹲起时加重，是髌腱牵拉骨骺所致。 检查： X线表现：胫骨结节切线位可见被覆软组织肿胀，髌腱增厚，骨骺隆起，其间骨化不均匀，可有翘起骨片或游离骨片，游离骨片长久不愈合，但症状能完全消除。  MRI表现：一般髌腱整体是连续的，表现为深黑色条带状影像，部分患者可显示胫骨结节部位稍高信号，为髌腱炎的表现，或见到髌下滑囊。 治疗： 本病是良性自限性疾患，即能自行痊愈，无需药物治疗，仅嘱托患者注意休息，限制膝关节活动，避免跑、跳、蹦，长久步行。症状一般会在生长板骨化后自行消退。病程常为6-18个月，症状可能会在这一期间里可能时轻时重。 Osgood-Schlatter disease is a condition that can cause pain in the knees of children and adolescents. It is often associated with a growth spurt and usually gets better with simple treatment. The condition most often affects children aged 9-14 years. It is more common in children who are very physically active, particularly when activities involve a lot of running and jumping, such as football, gymnastics, cricket, basketball and ballet. While the affected knee can be painful and may require a temporary slowdown of sporting pursuits, the good news is that children with Osgood-Schlatter disease can generally continue to be active, as the condition will gradually settle with time, when the bones stop growing. CausesThe patellar tendon is important in movement of the knee. The tendon connects the quadriceps muscle in the front of the thigh to the tibia (shinbone) at a point just below the kneecap. This attachment point normally forms a small lump or protuberance that is known as the tibial tuberosity. When the quadriceps muscle contracts, the knee straightens. If the patellar tendon becomes too tight, it can pull on the tibial tuberosity. This can cause:
InflammationA body’s protective immune response to injury or infection. The accumulation of fluid, cells and proteins at the site of an infection or physical injury, resulting in swelling, heat, redness, pain and loss of function. Tibial tuberosityThe bony protrusion at the top of the lower leg bone where the patella tendon attaches. The tendon can be more likely to pull on the tibial tuberosity if: Boys have historically been more likely to experience symptoms; however, this may be because they have tended to be more physically active than girls. Because the growth spurt that coincides with puberty tends to happen a little earlier in girls, they are more likely to have symptoms at a slightly younger age (around 11-12 years of age) compared to boys (around 13-14). The bony protrusion at the top of the lower leg bone where the patella tendon attaches. Signs and symptomsOsgood-Schlatter disease may affect one knee or both. When both knees are involved, one is often worse than the other. Osgood-Schlatter disease is suspected when pain in the knee tends to:
Other symptoms include:
InflammationA body’s protective immune response to injury or infection. The accumulation of fluid, cells and proteins at the site of an infection or physical injury, resulting in swelling, heat, redness, pain and loss of function. Methods for diagnosisOsgood-Schlatter disease can usually be diagnosed by a doctor from a physical examination. They will examine the affected knee and look for tenderness and may ask the child to move, squat, or straighten the knee against resistance, to see if this causes pain. X-rays may be recommended, but are often not necessary to diagnose Osgood-Schlatter disease. Other tests may be recommended if the cause of the symptoms is unclear and other conditions need to be ruled out. X-raysA scan that uses ionising radiation beams to create an image of the body’s internal structures. Types of treatmentIn general, symptoms will disappear once the growth of the bone stops. This can take months to a year or two. To manage the symptoms, the following can be helpful:
PhysiotherapyA healthcare profession that treats bodily weaknesses or defects with physical remedies, such as massage or exercise. Potential complicationsPotential complications of Osgood-Schlatter disease include:
Rarely, symptoms may continue to be troublesome after the bone stops growing. Surgery is not commonly recommended, but may be performed to:
Tibial tuberosityThe bony protrusion at the top of the lower leg bone where the patella tendon attaches. PrognosisFor most children with Osgood-Schlatter, symptoms will settle as their bones stop growing. For a few children, some pain may continue, but the condition rarely requires surgery. PreventionBecause the initial injuries are small, Osgood-Schlatter disease is difficult to prevent. However, following medical advice may help to reduce the risk of the condition becoming worse and doing more damage to the bone. References
FAQ Frequently asked questionsWhat is Osgood-Schlatter disease?Osgood-Schlatter disease is a condition that causes pain in the knees of children and adolescents. It often follows a growth spurt. It occurs because an overly tight patellar tendon pulls on part of the shinbone (tibia), damaging the bone. What are the symptoms of Osgood-Schlatter disease?Osgood-Schlatter disease causes pain in the knee, particularly when straightening the knee, squatting, kneeling, running or jumping. A red, swollen bump may form on the front of the shinbone, just below the kneecap. What causes Osgood-Schlatter disease?Osgood-Schlatter disease most often occurs in children during a growth spurt, when the patellar tendon may be tighter than usual and so pulls on the shinbone (tibia), causing damage to the bone and inflammation. It is more common in children who are … Who gets Osgood-Schlatter disease?Osgood-Schlatter disease generally occurs in children aged 9-14 years. It is most common at the time of the growth spurt associated with puberty. Once the bones stop growing in the mid-teens, Osgood-Schlatter disease can no longer develop. How is Osgood-Schlatter disease diagnosed?Osgood-Schlatter disease is usually diagnosed by a doctor performing a physical examination and asking about symptoms. X-rays may be recommended, but are not usually required for a diagnosis. How is Osgood-Schlatter disease treated?In most cases, simple management such as reducing the amount of physical activity, using mild pain-relief medications and ice packs to reduce pain and doing physiotherapy exercises are all that is needed to treat Osgood-Schlatter disease. In rare … Is Osgood-Schlatter disease serious?Osgood-Schlatter disease is normally not serious, although it can be painful. In most children with the condition, symptoms will last months or years, but stop once the bones stop growing. In rare cases, the condition may lead to persistent pain that … Will Osgood-Schlatter disease clear on its own?In most cases Osgood-Schlatter disease will settle once the bones stop growing, in the mid-teens. What factors can trigger Osgood-Schlatter disease?Symptoms of Osgood-Schlatter disease tend to occur following growth spurts in children, particularly fast growth at puberty. What can make Osgood-Schlatter disease worse?Participating in a lot of sports and activities that involve a lot of running and jumping can aggravate Osgood-Schlatter disease. It is usually not necessary to stop doing sports altogether, but in some cases reducing participation, or choosing … Related topicsDiseases & conditions Anterior cruciate ligament (ACL) injuryLigaments are bands of strong, flexible tissue that connect bones or cartilage, providing stability to joints. Knee ligament injuries can occur when your knee is hit forcefully, you land on it badly, or it sharply changes direction. Symptoms include swelling and pain, reduced movement, a popping sound, a feeling of instability and sometimes bruising.… Diseases & conditions Injury of knee ligamentsLigaments are bands of strong, flexible tissue that connect bones or cartilage, providing stability to joints. Knee ligament injuries can occur when your knee is hit forcefully, you land on it badly, or it sharply changes direction. Symptoms include swelling and pain, reduced movement, a popping sound, a feeling of instability and sometimes bruising.… Diseases & conditions Knee painKnee pain is a common symptom experienced by most people at some point. It can be caused by an injury, degenerative disease or other underlying conditions. In most cases, resting the affected knee, elevating the leg and applying ice and gentle compression can help lessen the pain.… Diseases & conditions Meniscal tearsA tear in the meniscus is a common injury. It can cause pain and swelling of the knee and make it hard to move. What is a meniscus? Each of your knees has two menisci - crescent-shaped pieces of cartilage that pad the bones in your knee joint. They act as stabilisers, lubricants and shock absorbers. The blood supply to the menisci is precarious; the outer edges of a meniscus receive a good blood s… |
胫骨结节骨软骨炎治疗
版權 © 2024 nguoilontuoi Inc.
