Multiple osteochondroses of bilateral knee joints: a case report |
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Authors: | Francesco Franceschi Simona Angela Barnaba Mario Rojas Giancarlo Gualdi Giacomo Rizzello Rocco Papalia Vincenzo Denaro |
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Institution: | (1) Department of Orthopaedic surgery, University Campus Biomedico of Rome, via E. Longoni, N. 83, 00155 Rome, Italy;(2) Department of Radiology, Umberto I Hospital, Rome, Italy |
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Abstract: | Knee injuries in young athletes include not only the typical adult bone injuries, ligament and cartilage, but also the growth
plate lesions. Osteochondroses are idiopathic, self-limited disturbance of enchondral ossification in which a rapid growth
spurt is present. The patella could be affected by two different kinds of osteochondroses: Kohler syndrome and Sinding–Larsen–Johansson.
Here we are reporting the first case of simultaneous location of ostechondroses of the two ossification centers of both patella.
A 9-year-old boy, competitive skater, presented a history of anterior knee pain involving both knees. Standard X-rays, axial
patellar view, MRI and arthro-MR were performed. In order to follow the natural history of the pathology and the evolution
of the healing, examinations at 2 years were repeated. We proposed the young skater a medical and a physiotherapeutic treatment
based on unloading, isometric exercises, NSAID. As the symptoms improve a gradual return to competitive sports activity was
allowed. The case mentioned above can be considered an atypical case because the patient suffered for a bilateral knee osteochondroses,
involving simultaneously the primary ossification centre (Kohler syndrome) and the secondary ossification centre (Larsen syndrome)
of the patella. |
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Keywords: | Osteochondroses Ossification Center Patella Arthro-Rm Skating |
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