ERIC SMALL, MD, FAAP ERIC SMALL, MD, FAAP Assistant Clinical Professor of Pediatrics, Assistant Clinical Professor of Pediatrics, Orthopedics, and Rehabilitation Medicine Orthopedics, and Rehabilitation Medicine Mount Sinai School of Medicine Mount Sinai School of Medicine New York, New York New York, New York Director Sports Medicine Center for Young Athletes Director Sports Medicine Center for Young Athletes Blythedale Children’s Hospital Blythedale Children’s Hospital
ERIC SMALL, MD, FAAP. Assistant Clinical Professor of Pediatrics, Orthopedics, and Rehabilitation Medicine Mount Sinai School of Medicine New York, New York Director Sports Medicine Center for Young Athletes Blythedale Children’s Hospital. - PowerPoint PPT Presentation
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ERIC SMALL, MD, ERIC SMALL, MD, FAAPFAAPERIC SMALL, MD, ERIC SMALL, MD, FAAPFAAP
Assistant Clinical Professor of Assistant Clinical Professor of Pediatrics, Orthopedics, and Pediatrics, Orthopedics, and
Rehabilitation MedicineRehabilitation Medicine
Mount Sinai School of MedicineMount Sinai School of Medicine
New York, New YorkNew York, New York
Director Sports Medicine Center for Young Director Sports Medicine Center for Young AthletesAthletes
•Traumatic vs. NontraumaticTraumatic vs. Nontraumatic•Type of Treatment GivenType of Treatment Given•Past Medical History Past Medical History •Family HistoryFamily History
HistoryHistoryHistoryHistory
•Traumatic vs. NontraumaticTraumatic vs. Nontraumatic•Type of Treatment GivenType of Treatment Given•Past Medical History Past Medical History •Family HistoryFamily History
HistoryHistoryHistoryHistory
•Traumatic vs. NontraumaticTraumatic vs. Nontraumatic•Type of Treatment GivenType of Treatment Given•Past Medical History Past Medical History •Family HistoryFamily History
HistoryHistoryHistoryHistory
•Traumatic vs. NontraumaticTraumatic vs. Nontraumatic•Type of Treatment GivenType of Treatment Given•Past Medical HistoryPast Medical History •Family HistoryFamily History
HistoryHistoryHistoryHistory
•Traumatic vs. NontraumaticTraumatic vs. Nontraumatic•Type of Treatment GivenType of Treatment Given•Past Medical History Past Medical History •Family HistoryFamily History
• Immediate Swelling?Immediate Swelling?•Able to continue to play?Able to continue to play?•Full or Partial Weightbearing?Full or Partial Weightbearing?
SwellingSwellingSwellingSwelling
• Immediate SwellingImmediate Swelling•Swelling Several hours laterSwelling Several hours later•Swelling Next DaySwelling Next Day
Pain Pain Pain Pain
•Pain with activityPain with activity•Pain after activityPain after activity•Pain the next dayPain the next day
SymptomsSymptomsSymptomsSymptoms
•LockingLocking•Clicking Clicking •Giving WayGiving Way
•Pain in and around patellaPain in and around patella•Swelling only in severe casesSwelling only in severe cases•Pain walking up and down stairsPain walking up and down stairs•Positive theatre signPositive theatre sign
PFSS-Other findingsPFSS-Other findingsPFSS-Other findingsPFSS-Other findings•More common in FemalesMore common in Females•Q AngleQ Angle•Patella HypermobilityPatella Hypermobility•Shallow trochlear GrooveShallow trochlear Groove•Patella SubluxationPatella Subluxation
•Patella Facet PainPatella Facet Pain•Positive Patella Compression TestPositive Patella Compression Test•May have associated PlicaMay have associated Plica•May have pain with hyperflexionMay have pain with hyperflexion
MANAGEMENTMANAGEMENTMANAGEMENTMANAGEMENT•Decrease running by 30 - 50%Decrease running by 30 - 50%•Straight leg raising to 10 pounds Straight leg raising to 10 pounds
(VMO)(VMO)•McConnell TapingMcConnell Taping• If fail conservative management If fail conservative management
lateral release and plica resectionlateral release and plica resection
OSD BACKGROUNDOSD BACKGROUNDOSD BACKGROUNDOSD BACKGROUND•First described in 1903First described in 1903•Osgood (Boston)Osgood (Boston)•Schlatter (Switzerland)Schlatter (Switzerland)• ImmobilizatonImmobilizaton•5:1 in boys than in girls5:1 in boys than in girls
OSD HISTORYOSD HISTORYOSD HISTORYOSD HISTORY
• In peak growth spurtIn peak growth spurt
•Pain with running and Pain with running and squattingsquatting
•Noncontact InjuryNoncontact Injury•More common in femalesMore common in females•Rise in skeletally immature populationRise in skeletally immature population•Surgery is dependent on individual Surgery is dependent on individual