Your kneecap, or patella, is connected to your shinbone tibia by the patellar tendon. Sinding larsen johansson syndrome knee musculoskeletal. Sinding larsen johansson slj syndrome is a painful knee condition that most commonly affects teens during periods of rapid growth. The tenderness of the inferior pole of the patella is usually accompanied by roentgenographic evidence of splintering of that pole. It is weaker and more at risk for injury than the rest of the bone. Sindinglarsenjohansson syndrome is caused by increased tension and pressure on the growth center. Sinding larsen johansson syndrome slj is a juvenile osteochondrosis and traction epiphysitis affecting the extensor mechanism of the knee which disturbs the patella tendon attachment to the inferior pole of the patella. It is a type of osteochondrosis at the proximal attachment of patellar ligament, which is common in adolescents especially those who participate in jumping activities. This condition can also occur from a direct, blow, fall, or one sudden jump. The symptoms rapidly regressed and after 5 months the patient had completely recovered and us followup revealed no. The medical term for this condition is patellar apophysitis.
Enfermedad sinding larsen johansson doctor villanueva. Sinding larsen johansson syndrome is an osteochondrosis of the inferior pole of the patella and is often bilateral. Elle a ete decrite en 1921 par les docteurs sinding larsen et johansson. To analyse the clinical symptoms, aetiology and biomechanical aspects related to sinding larsen johansson slj disease.
Sep 17, 2018 sinding larsen johansson syndrome commonly affects adolescents and young boys who are physically active during their growth spurts. Sinding larsen johansson syndrome slj is a condition affecting children younger than children affected with osgoodschlatter disease, generally between the ages of seven and thirteen, before adolescence. Doctors at childrens hospital colorado diagnose sindiglarsenjohannson based on a child or young adults symptoms, physical examination and occasionally an xray of the knee. Sinding larsen johansson syndrome slj is a condition that occurs at the bottom of the kneecap due to the additional stress of the apophysis being repetitively stretched during physical activities or sports. Material and method a case control study was conducted, analysing the following variables. Sndrome sinding larsen johansson, em homenagem a sir bobby moore 18801959, um cirurgio sueco e christian magnus falsen sinding larsen 18661930, um mdico noruegus, uma condio semelhante sndrome osgoodschlatter.
The sinding larsen johansson syndrome is a rupture or avulsion of the patellar ligament at the distal point of the patella caused by traction. Sinding larsen johansson syndrome results from stress a single sudden incident or repeated or injury of the lower patella that interferes with development, causing inflammation. Sinding larsen johansson slj syndrome is pain at the bottom of the kneecap patella. The thigh muscles and tendon can become very tight and cause stress on the kneecap. Generally affects adolescents between 10 and 14 years of age and prevalent in boys. Sinding larsen johansson syndrome is an inflammation of the bone at the bottom of the patella kneecap, where the tendon from the shin bone tibia attaches. Sinding larsen johansson is most often seen in children between the ages of 10 and 15 and usually appears during a period of rapid growth. Signs of sindiglarsenjohannson include activityrelated knee pain in patients within the typical age group where the bone is growing rapidly adolescence.
High resolution ultrasonography of the knee was performed on 82 young patients with clinically suspected osgoodschlatter disease and on 30 normal subjects. Essa complicacao causa grande dor, durante a atividade, e extrema sensibilidade, quando a apice da patela e pressionada. This may be inflammation of the cartilage of the growing patella, death of tendon cells from repeated stress, or pulling off of the lining of the patellar bone. Feb 28, 2011 robert bernstein md chief of pediatric orthopedics surgery cohen childrens hospital, orthopedic residency massachusetts general hospital, fellowship ped. Ultrasonic diagnosis of osgoodschlatter and sinding. Sindinglarsenjohansson childrens hospital colorado. This can occur during growth spurts or overuse from running, jumping or squatting. Sindinglarsen and johansson syndrome was described independently by norwegian physician christian magnus falsen sindinglarsen and swedish surgeon sven christian johansson. Sinding larsen johansson syndrome is juvenile osteochondrosis that disturbs the patella tendon attachment to the inferior pole of the patella. It is caused by swelling and irritation of the growth plate there. Sindinglarsenjohansson slj syndrome is a painful knee condition that most commonly affects teens during periods of rapid growth. It is not osteonecrosis, epiphysitis or osteochondritis as previously described in the literature.
The proximal and posterior part of the patellar tendon is thickened with high stir signal. The sinding larsen johansson syndrome has a pathogenesis similar to that of the osgoodschlatter disorder and is the result of excessive force exerted by the patellar tendon on the lower pole of the patella. The symptoms rapidly regressed and after 5 months the patient had completely recovered and us followup revealed no anomaly. The sindinglarsenjohansson syndrome has a pathogenesis similar to that of the osgoodschlatter disorder and is the result of excessive force exerted by the patellar tendon on the lower pole of the patella. This is an irritation of the growth plate at the bottom of the kneecap. It occurs directly on the lower part of the knee cap during preadolescent development when the growing kneecap is vulnerable to overuse.
Adolescents who participate in sports involving running, twisting and jumping such as basketball, football, and gymnastics etc are more prone to this condition. When were still growing, the tendon attaches to a growth plate at the bottom of. Sinding larsen johansson syndrome free download as pdf file. Sindinglarsenjohansson syndrome is an osteochondrosis of the inferior pole of the patella and is often bilateral. Sindinglarsenjohansson is commonly seen in active adolescents aged between 10 and 14 years, as described in our patient. Pdf arthroscopic treatment of painful sindinglarsen. The sindinglarsenjohansson syndrome is characterized by swelling of the cartilage, thickening of the patellar tendon with calcifications in the advanced stages, fragmentation of the lower pole of the patella fig. Your child is diagnosed with sinding larsen johansson syndrome. Sindrome sindinglarsen johansson linkedin slideshare. The ultrasound pictures were equally or more effective than xray images in 4545 cases. It is not osteonecrosis, epiphysitis or osteochondritis as previously described. A spectrum of entities is involved in injury to the inferior aspect of the patella and the proximal patella tendon, including sindinglarsen johansson syndrome, patellar sleeve avulsion and. Sindinglarsenjohansson slj syndrome is pain at the bottom of the kneecap patella.
Sindinglarsenjohansson syndrome results from stress a single sudden incident or repeated or injury of the lower patella that interferes with development, causing inflammation. Sindinglarsenjohansson syndrome was diagnosed and the patient was told to refrain from sports activity, which was a difficult task in this particular case. Sinding larsen johansson syndrome commonly affects adolescents and young boys who are physically active during their growth spurts. Sinding larsen johansson is commonly seen in active adolescents aged between 10 and 14 years, as described in our patient.
Sinding larsen johansson slj syndromesignssymptoms. Sindinglarsen and johansson syndrome, named after swedish surgeon sven christian johansson 18801959, and christian magnus falsen sindinglarsen 18661930, a norwegian physician, is apophysitis of the inferior pole of the patella. A growth plate is a layer of cartilage near the end of a bone where most of the bones growth happens. Sinding larsen johansson syndrome was diagnosed and the patient was told to refrain from sports activity, which was a difficult task in this particular case.
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