What is tibial tubercle apophysis?
What is tibial tubercle apophysis?
Osgood Schlatter disease, also known as osteochondrosis or traction apophysitis of the tibial tubercle, is a common cause of anterior knee pain in the skeletally immature athletic population. Common sports seen in association with the condition include: Basketball. Volleyball.
Where is the tibial apophysis?
What is Osgood-Schlatter’s Disease? Osgood-Schlatter’s Disease is an inflammation of the area just below the knee where the tendon from the kneecap (patellar tendon) attaches to the shinbone (tibia).
What causes fragmentation of the apophysis of the proximal tibia?
Exact cause is unknown but chronic repetitive trauma to the maturing proximal tibial growth plate by excessive force exerted on the secondary ossification center or apophysis by the patellar tendon leading to avulsion and tibial fragmentation with soft-tissue swelling of tubercle.
Where is the right tibial tuberosity?
Upper surface of right tibia. (Tuberosity labeled at top.) The tuberosity of the tibia or tibial tuberosity or tibial tubercle is an elevation on the proximal, anterior aspect of the tibia, just below where the anterior surfaces of the lateral and medial tibial condyles end.
How is tibial tuberosity treated?
In x-rays, a regular ossification (ossicle) is demonstrated over the tibial tuberosity. Treatment includes conservative and surgical options. Conservative treatment includes modifying physical activities, using ice packs, nonsteroidal anti-inflammatory drugs (NSAIDs), braces, and pads.
How do you treat a tibial tubercle?
Medical therapy for a tibial tubercle (tuberosity) fracture typically involves analgesia for pain control and thromboprophylaxis. The patient’s discomfort can be controlled with acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs). If the pain continues, a narcotic analgesic can be added.
How do you get tibial tuberosity?
When the quadriceps muscle on the front of the thigh works, it pulls on the patellar tendon. The tendon in turn pulls on the tibial tuberosity. If the tension is too great and occurs too often while the bone is developing, it can pull the growth area of the tibial tuberosity away from the growth area of the shinbone.
Why does my tibial tubercle hurt?
In an Osgood-Schlatter lesion, the tibial tuberosity is often enlarged and painful. It hurts when bumped. It also hurts when pressure is put on it, such as when kneeling. Activities like running, jumping, climbing, and kicking may hurt because of the tension of the patellar tendon pulling on the tibial tuberosity.
Does Osgood-Schlatter require surgery?
Treatment for Osgood-Schlatter disease includes reducing the activity that makes it worse, icing the painful area, using kneepads or a patellar tendon strap, and anti-inflammatory medication. Surgery is rarely used to treat Osgood-Schlatter disease.
Is tibial tuberosity normal?
In MRI, tibial tuberosity is normal, but it shows the fluid collection in the infrapatellar region. Pain may be present with activity or rest, and systemic symptoms and signs of infection are present.
When does the tibial tuberosity become inflamed?
Osgood-Schlatter disease (OSD) is a condition in which the patellar tendon insertion on the tibial tuberosity becomes inflamed. It is a well-known condition in late childhood characterized by pain and a bony prominence over the tibial tuberosity.
When does the tibial tubercle fuse with apophysis?
Tibial tubercle is a secondary ossification center age <11y, tubercle is cartilaginous. age 11-14y, apophysis forms. age 14-18y, apophysis fuses with tibial epiphysis.
How to treat an enlarged tibial tubercle in the knee?
Diagnosis is made clinically with an enlarged tibial tubercle and supplemented with radiographs of the knee that reveal irregularity and fragmentation of the tibial tubercle. Treatment is nonoperative with NSAIDs, activity modification with quadriceps stretching and typically resolves with physeal closure.
Is the tibial tubercle a secondary ossification center?
Tibial tubercle is a secondary ossification center age <11y, tubercle is cartilaginous. age 11-14y, apophysis forms. age 14-18y, apophysis fuses with tibial epiphysis. age >18y, epiphysis (and apophysis) is fused to rest of tibia.