patellar osteochondrosis
Introduction
Introduction to tibia osteochondrosis The disease, also known as Sinding-Larsen disease, was reported by Sinding, Larsen, and Johansson in 1921 and 1922, respectively. It is considered to be osteochondrosis caused by excessive tension or pressure in the upper and lower jaws, which occurs in 10 to 14 years old. Teenagers who like strenuous exercise, more men than women, often appear on one side, more common on the right side, occasionally bilateral patients. Most involving the lower extremity of the humerus, often with the tibial tuberosity osteochondrosis, this disease is also known as humeral epiphysis, growth sacral inflammation, adolescent sacral inflammation. basic knowledge The proportion of illness: 0.001% Susceptible people: good for young people aged 10 to 14 Mode of infection: non-infectious Complications: swelling
Cause
Causes of tibial osteochondrosis
(1) Causes of the disease
Trauma is the main cause.
(two) pathogenesis
When the iliac crest of the humerus is excessively pulled or caused by the quadriceps tendon and the patellofemoral ligament attached to it, it may cause fatigue fracture or stress fracture, and the blood supply to the epiphysis may be impaired. The pathogenesis and pathological changes are very similar. The tibial tuberosity osteochondrosis, due to ischemia, causes the epiphysis to be necrotic, is absorbed later, and there is a creep replacement, which eventually leads to the elongation, enlargement, and deformity of the tibia. Some people think that the disease is caused by endocrine disorders, or is considered to be related to heredity. Juvenile onset can occur in adults with high tibia.
Prevention
Tibial osteochondrosis prevention
The tibia has an important role in the knee joint. If the knee joint is excessively flexed and twisted in the semi-flexion position, the joint surface of the tibia is often rubbed, squeezed or impacted. The long-term load exceeds the physiological limit of the cartilage, and the cartilage degeneration causes the occurrence of patella softening. Can't walk when.
Tuina treatment of patella softening is ideal. The specific method is: the patient is supine, knees about 130 degrees, according to Qi Xuehai, Liangqiu, knee eyes, Yanglingquan, Yinlingquan, Sanyinjiao, Taixi and other acupoints, around the knee joint and the lower third of the thigh and One-third of the calf is treated with a rolling method, and the sides of the tibia are rubbed with small fish. The sacrum and the surrounding are rubbed with the food, middle and ring finger, and the humerus is pressed with the palm. All over, use the five fingers to force, pinch the circumference of the humerus, and use force to move, but do not let the humerus slide left and right, the last hand to hold the ankle, one hand to hold the humerus, for flexion and extension knee joint activities 3-5 times.
Complication
Comcast osteochondrosis Complications swelling
Juvenile onset can occur in adults with high tibia.
Symptom
Symptoms of tibial osteochondrosis common symptoms sacral pain, periorbital index, tenderness, anterior knee pain, tibia strain
The main complaint is pain in front of the knee and mild lameness. Running, the pain is aggravated when going upstairs or cycling, and the rest is relieved. When the acute attack occurs, it jumps and falls. The lower part of the humerus can have mild swelling and soft tissue thickening. And there is tenderness, pain when stretching knees and kneeling, a few symptoms of the tibia can occur, the course of disease is 4 to 6 months.
Examine
Examination of tibia osteochondrosis
The upper or lower pole of the humerus is not neat, showing a zigzag or thorn-like protrusion, even a lobed shape, sometimes visible free small bone pieces (Fig. 1), often with tibial tuberosity osteochondrosis, and the tibia may have several stages during normal growth. The ossification center, and the size and density of the tibia on both sides of normal children can be different, so it is necessary to combine clinical, follow-up observation of X-ray changes, in order to make a correct diagnosis.
Diagnosis
Diagnosis and diagnosis of tibial osteochondrosis
According to the history of trauma, the clinical manifestations of knee pain and mild squatting when running up and down the symptoms and the special performance of X-ray films can establish a diagnosis.
