Knee Diseases...

[Guest guest]

A close friend of mine went to the doctor and was told the possibility

of the following two problems with her knees. Can someone please in detail

explain to me what these two are, and what the symptoms are? They were

Chrondromalacia, and Osgood-Schlatter Disease.

Thank you so much

Malinoski

NY, NY

[Guest guest]

Malinoski <JeffyG24@n...> wrote:

> A close friend of mine went to the doctor and was told the possibility

> of the following two problems with her knees. Can someone please in detail

> explain to me what these two are, and what the symptoms are? They were

> Chrondromalacia, and Osgood-Schlatter Disease.

>

***How old is your friend? I ask this because Osgood-Schlatter's

disease (or " apophysitis of the tibial tubercle " ) is usually seen in

younger subjects, roughly 10-14 years old. Unless she's still

groing... This affliction is nothing more than a strain of the

developing tibial tubercle, caused by the pull of the patellar tendon.

The pain is in front of and below the knee, usually worse with

strenuous activity. On examination, you will find that the tibial

tubercle is unduly prominent, and tender on palpation. Pain

increases when the quadriceps is tensed and the symptoms and signs

should be confined to the region of the tibial tubercle, the knee

joint itself being normal. Radiographs may show enlargement and

sometimes fragmentation of the tibial tubercle.

Now in chondromalacia, the cartilage of the articular surface of the

patella itself (particularly the medial facet) is roughened and

fibrillated. It is surmised that friction between the damaged area

and the corresponding femoral condyle is responsible for the pain.

Now pain in this case will be deep in the knee, behind the patella.

It will be exacerberated by climbing or descending stairs. There is

often effusion of fluid and tenderness may be found on palpating the

deep surface of the patella after displacing it to one side. There

might also be a point of marked tenderness over the front of the

medial femoral condyle. You might also notice fine crepitation (or creaking)

(which by itself is quite normal sometimes, so that alone should not

get anyone alarmed...) by cupping the patella with your hand,

especially when the patient does a knee bend. Radiographs will be

normal.

Your best bet would be to consult a physiotherapist or competent

sports doctor. They should be able to give you a more specific

diagnosis.

Lépine

Vancouver BC

[Guest guest]

Chondromalacia is the softening-wearing away of the articular cartilage on

the under-surface

of the patella(Kneecap)-not nearly as frequent as diagnosed!

Osgood Schlatters D is an inflammatory-mechanical pulling of the insertion of

the patellar ligament into the attachment

of the tibia - it occurs only in those still growing - and is rarely a problem

in those who are fully grown and

whose bones are mature.

You may also want to consider Patella Femoral(Compression) Syndrome.

There is a little info on my webpage.

T. Herrick, M.D.

P.O. Box 4160

Opelika, Alabama 36803-4160

USA

herrickclinic@...

http://www.herrickclinic.com

----------------

From: LA Malinoski

A close friend of mine went to the doctor and was told the possibility

of the following two problems with her knees. Can someone please in detail

explain to me what these two are, and what the symptoms are? They were

Chrondromalacia, and Osgood-Schlatter Disease.

Thank you so much

Malinoski

[Guest guest]

Chrondromalacia is a degeneration of the cartilage that lines the back in

the knee cap. In the model that i've seen in common medical literature, it

is caused my a mistracking of the knee cap which wears away the cartilage

and causes pain. The condition starts as patella-femoral syndrome, which is

just the improper tracking of the knee cap. Symptoms of it include pain

walking up or down stairs, inability to keep knee in one position without

pain or needing to 'crack' it, a visually obvious offset of the kneecap. I'm

sure there are others. If patella-femoral syndrome is not treated it is

beleived to degrade into the condition called chrondromalacia.

Chrondromalacia can only be diagnosed with a x-ray or MRI or some other sort

of subdermal scanning technique.

Dahms

Boston, USA