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.

Multiple osteochondroses of bilateral knee joints: a case report / Francesco, Franceschi; Simona Angela, Barnaba; Mario, Rojas; Gualdi, Gianfranco; Giacomo, Rizzello; Rocco, Papalia; Vincenzo, Denaro. - In: KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY. - ISSN 0942-2056. - 15:4(2007), pp. 431-435. [10.1007/s00167-006-0180-0]

Multiple osteochondroses of bilateral knee joints: a case report

GUALDI, GIANFRANCO;
2007

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.
2007
arthro-rm; arthroscopy; child; diagnosis; diagnosis/rehabilitation; differential; humans; knee joint; magnetic resonance imaging; male; ossification center; osteochondritis; osteochondroses; patella; pathology; physical therapy modalities; skating; tomography; x-ray computed
01 Pubblicazione su rivista::01a Articolo in rivista
Multiple osteochondroses of bilateral knee joints: a case report / Francesco, Franceschi; Simona Angela, Barnaba; Mario, Rojas; Gualdi, Gianfranco; Giacomo, Rizzello; Rocco, Papalia; Vincenzo, Denaro. - In: KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY. - ISSN 0942-2056. - 15:4(2007), pp. 431-435. [10.1007/s00167-006-0180-0]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/461296
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