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- Title
Multiple osteochondroses of bilateral knee joints: a case report.
- Authors
Franceschi, Francesco; Barnaba, Simona; Rojas, Mario; Gualdi, Giancarlo; Rizzello, Giacomo; Papalia, Rocco; Denaro, Vincenzo
- Abstract
Knee injuries in young athletes include not only the typical adult bone injuries, ligament and cartilage, but also the growth plate lesions. Osteochondroses are idiopathic, self-limited disturbance of enchondral ossification in which a rapid growth spurt is present. The patella could be affected by two different kinds of osteochondroses: Kohler syndrome and Sinding–Larsen–Johansson. Here we are reporting the first case of simultaneous location of ostechondroses of the two ossification centers of both patella. A 9-year-old boy, competitive skater, presented a history of anterior knee pain involving both knees. Standard X-rays, axial patellar view, MRI and arthro-MR were performed. In order to follow the natural history of the pathology and the evolution of the healing, examinations at 2 years were repeated. We proposed the young skater a medical and a physiotherapeutic treatment based on unloading, isometric exercises, NSAID. As the symptoms improve a gradual return to competitive sports activity was allowed. The case mentioned above can be considered an atypical case because the patient suffered for a bilateral knee osteochondroses, involving simultaneously the primary ossification centre (Kohler syndrome) and the secondary ossification centre (Larsen syndrome) of the patella.
- Subjects
KNEE disease treatment; SPORTS injuries treatment; PATELLA; OSSIFICATION; PEDIATRIC sports medicine; EXERCISE therapy for children
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2007, Vol 15, Issue 4, p431
- ISSN
0942-2056
- Publication type
Article
- DOI
10.1007/s00167-006-0180-0