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KNEE OVERUSE INJURIES Tal S. David, MD SportsMed Surgery

KNEE OVERUSE INJURIES Tal S. David, MD SportsMed Surgery. What Is An Overuse Injury?. Overuse injuries = Repetitive strain to tissues “Too Much, Too Fast” In children, this rarely occurs in free-play activity, common in organized sports. “ Kids are not little adults ”.

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KNEE OVERUSE INJURIES Tal S. David, MD SportsMed Surgery

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  1. KNEE OVERUSE INJURIESTal S. David, MDSportsMed Surgery

  2. What Is An Overuse Injury? • Overuse injuries = Repetitivestrain to tissues • “Too Much, Too Fast” • In children, this rarely occurs in free-play activity, common in organized sports

  3. “Kids are not little adults”

  4. Pediatric Athletes Are Unique! • Skeleton is immature • Growth plates are open • “weak link” • Year-round play at young ages • Skill levels at greatest discrepancy

  5. Overuse Injuries The Pediatric athlete is UNIQUE: • Growth spurts play a role

  6. KNEE • No joint in the body is more affected by overuse injuries that the knee

  7. Osgood-Schlatter Disease

  8. Osgood-Schlatter • Overuse injury to the attachment of the patellar tendon • The most common overuse injury of the knee

  9. “Bump on the Knee”

  10. Osgood-Schlatter • Tender to the touch / limited flexion

  11. X-Ray of Osgood-Schlatter

  12. Patellar Tendinitis“Jumper’s Knee”

  13. Patellar Tendinitis • Associated with: • Repetitive jumping • An increase in activity • Occurs during a period of growth acceleration

  14. Patellar Tendinitis • Inflammation of the patellar tendon • Tender to the touch • Stiff and limited flexion due to pain • Generally no swelling • Slightly older kids – Growth plates closed

  15. Treatment: • Overuse injuries respond well to REST • Activity modification • Short term anti-inflammatory agents • Ice • Stretching

  16. Treatment: • OK to resume normal activities once the symptoms resolve • Return to play varies (chronicity)

  17. SUMMARY: • Overuse injuries occur because of repetitive stress • Kids are uniquely predisposed to these problems • Knee is most commonly affected joint • These injuries respond well to rest • Early treatment can shorten recovery time

  18. THANK YOU

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