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Apophysitis of the tibial tubercle, Lannelongue's disease, [1] osteochondrosis of the tibial tubercle [2] Lateral view X-ray of the knee demonstrating fragmentation of the tibial tubercle with overlying soft tissue swelling. Specialty: Orthopedics: Symptoms: Painful bump just below the knee, worse with activity and better with rest [3] Usual onset
The tibial tuberosity thus forms the terminal part of the large structure that acts as a lever to extend the knee-joint and prevents the knee from collapsing when the foot strikes the ground. [1] The two ligaments, the patella, and the tibial tuberosity are all superficial, easily palpable structures. [2]
Patella, its tendon and tibial tuberosity. The condition is usually seen in athletic individuals typically between 10 and 14 years of age. Following a strain or partial rupture of patellar ligament the patient develops a traction ‘tendinitis’ characterized by pain and point tenderness at the inferior (lower) pole of the patella associated with focal swelling.
Calf swelling ≥ 3 cm compared to asymptomatic calf (measured 10 cm below tibial tuberosity) +1 point +2 points Swollen unilateral superficial veins (non-varicose, in symptomatic leg) +1 point +1 point Unilateral pitting edema (in symptomatic leg) +1 point — Previous documented DVT +1 point — Swelling of entire leg +1 point —
Non-articular: This group includes Sever's disease (of the calcaneus, or heel), and other conditions not completely characteristic of the osteochondroses, such as Osgood-Schlatter's disease (of the tibial tubercle) [10] and Sinding-Larsen-Johansson syndrome (proximal patellar tendon).
Similar calcification and ossification may be seen at peripheral entheseal sites, including the shoulder, iliac crest, ischial tuberosity, trochanters of the hip, tibial tuberosities, patellae, and bones of the hands and/or feet. [6] DISH can be a complicating factor when suffering from trauma involving the spine.
the deep infrapatellar bursa between the upper part of the tibia and the patellar ligament. [2] It allows for movement of the patellar ligament over the tibia. [4] the subcutaneous (or superficial) infrapatellar bursa between the patellar ligament and skin. [2] the pretibial bursa between the tibial tuberosity and the skin. [2]
Enthesitis is inflammation of the entheses (singular: enthesis), the sites where tendons, ligaments and joint capsules attach to bones. [1] [2]It is a type of enthesopathy, meaning any pathologic condition of the entheses, with or without inflammation.