Cheatography
https://cheatography.com
Presentation, Managment etc
This is a draft cheat sheet. It is a work in progress and is not finished yet.
OSD
- Overuse injury |
- Traction apophysitis of tibial tuberosity |
- Usually in skeletal immature people (especially activities during rapid skeletal development) |
- Inflammation + bony microtrauma |
Demographics
- Athletes - soccer, gymnastics , basketball, running, track |
- Ages 10-15 |
- Equal between boys and girls |
- Genetics |
- Hx of apophysitis in another area |
Presentation
- Non-traumatic hx of progressively increasing pain over tibial tuberosity |
- Aggravated by exercise |
- If they hear a pop + immediate onset of acute pain and ecchymosis - consider avulsion f# |
- Swollen and inflamed tibial tibial tuberosity |
- RROM knee extension and PROM knee flexion painful |
- Assess inflexibility/weakness in hamstrings, quads. calves |
- Assess patella alta, patella tracking disorders,, tibial torsion, foot pronation and pes planus |
Imaging
- Not usually required unless avulsion f#/bony pathology is suspected |
- Normal fragmentation of tibial apophysis should not to confused with f#/pathology |
Management
- Assess severity of the condition |
- Cross training - rest quads (swimming, weight lifting, stationary cycling and upper body exercises) |
- Electrotherapy + ice |
- SMT of spine, SI and LL |
- Myofascial release of quads, hamstring, ITB, hip adductors, gastrosoleus |
- Fix tracking disorders |
- Stretching of hamstring, gastrosoleus, ITB, hip adductos |
- Asses and correct LL weakness - hamstrings, hip rotators, calves, quads |
- NSAIDs |
- Arch supports |
- Jogging then sprinting, cutting, squatting then jumping |
- Rehab to decrease forces through tibial tuberosity (wider running base) |
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