Pain at the attachment of the patellar tendon to the patella can often be due to the condition known as Sinding-Larsen-Johansson Disease. This condition is most often noticed during a growth spurt early in the second decade of life. There is a higher prevalence in boys, but this may be due to a greater involvement in sport. Like the more common Osgood Schlatters’ Disease, it is characterised by
- Pain that is dull, superficial and localised to the tendon attachment.
- Usually has a gradual onset but may be associated with a traumatic event.
- Tends to be aggravated by activities such as running, kneeling, kicking, squatting and jumping.
- The pain tends to linger for some time after activity and eases with rest.
- The area is usually tender to touch and pain can be elicited by resisting contraction of the quadriceps.
Sinding-Laresen-Johansson Disease. The bone is inflamed at the attachment of the patellar tendon to the patella.
- As with all sporting conditions, correct diagnosis and treatment should be encouraged. The primary treatments for this condition are:-
- Stop the aggravating activities
- Ice applied after any pain producing activity
- Gentle stretching of the quadriceps but not to the point of pain
- Supportive tapes or straps may be of assistance
- Other forms of physiotherapy such as ultrasound or electrotherapy may also be helpful
- It is also important to educate the player about their condition and the probability of a complete recovery.
When do you see someone for help?
Your LifeCare Practitioner will be able to provide an accurate diagnosis and an appropriate management plan. Often this problem can require a Sports Medicine Doctor, Physiotherapist, and/or Podiatrist to assist.
For more information, see your local LifeCare Practitioner.
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