Ortho

7/12/99

Meniscus

Osgood-Schlatter Lesion

• Damage to tibial tuberosity
• Partial evulsion that takes place at patellar ligament (tendon)
• In normal, have growing bone at tibial tuberosity
• Fragmentation of tubercle
• Repetitive injury (like kicking a soccer ball), tight hamstrings
• This is a fracture
• Anti-inflammatory
• Ultrasound (pulsed) anti-inflammatory—don't use over growing bones
• Nonunion can lead to long term in adulthood
• Usually have pain for 1-2 yrs during adolescent growth spurt
• Seen more in males

Bowing and Knock Knee

• Infants are bow legged (vargus)
• When they begin to walk changes to valgus)
• In toddlers have excessive valgus, b/c of poor stability
• Extreme bowing needs to be assessed

Blount's ds

• Retardation in growth

• Tibia vera—most common cause (bow leg)

• Can occur unilaterally or bilaterally

Metatarsus Adductus

• Structural deformity in the foot
• Metatarsals and phalanges are adducted
• Tx is manipulation, taping, braces
• Needs to be caught before weight bearing
• Interanal tibia
• W/in the long bone

Postural Effects of lower limbs

• Frog leg sleeping—external hip
• TV sitting—internal rotation of hip, external at knee
• External hip and internal knee—cross legged