Soreness, swelling in the tibial tubercle

Introduction Osteophyseal osteophytes are common in adolescents who are often engaged in strenuous exercise between the ages of 12 and 16 years, with more men than women. It is characterized by soreness and swelling at the tibial tuberosity, which is a knee disease that is overused and damaged. I have a tibial tuberosity of the humerus, although there will be lameness due to pain, but young friends do not need to worry about sports. As long as you pay attention to sports science, step by step, no more than physiological strength, prevent injury, find discomfort, consult a doctor in time, it will not cause adverse consequences.

Cause

The tibial tuberosity is the attachment point of the iliac crest. Under normal circumstances, it is often pulled by the quadriceps contraction. Before the epiphysis is healed, if the pulling force is large, a pathological reaction occurs at the epiphysis, and this reaction is often chronic and relatively long-term. The pathological changes in the occurrence of osteophytes are subtle changes in the strain of the tissue structure. If the force is pulled by acute violence, a tear of the tibial tuberosity can occur, resulting in a pathological change similar to an avulsive fracture. In addition, direct violence such as collisions and blows can also cause the destruction of the epiphysis.

an examination

Related inspection

Bash test, tibiofibular muscle strength test, bundle tension test

Diagnose based on

1. It occurs mostly in adolescents whose tibial tuberosity is not integrated and sports.

2. Often involved in bilateral involvement, slow onset, most patients have a history of strenuous exercise or trauma before onset.

3. The front and lower part of the knee joint (ie, the tibial tuberosity) is sore and swollen. When the knee joint moves frequently, the pain is aggravated, and the pain is obvious even when the knee is down or down.

[signs and inspections]

1. Palpation: The humerus nodules are raised, the touch is hard, and there is tenderness.

2. For knee extension resistance test, knee flexion and semi-squatting stand test, single leg support test, pain can occur at the tibial tuberosity.

3. X-ray film: In the early stage, the lower end of the apex is swollen and thick. The lesion progresses to the stage of bone bulging. In addition to the swelling and thickening of the patellofemoral ligament, the density of the center of the bone becomes uneven or increased. A few patients may have osteophyte separation and displacement. Finally, to the ossification healing stage, there may be one or several pieces of broken bones of different sizes and higher densities. The free edge is forward and upward, and the shape of the cap is lifted up. Some patients can see the calcification of the patellar ligament.

Differential diagnosis

Differential diagnosis of soreness and swelling at the neck and neck nodules:

1. Post-knee swelling and pain, limited activity: The axillary cyst is more common in middle-aged cases than in middle-aged cases. Males are more than females, resulting in mechanical knee extension and knee flexion limitation. The pain is lighter and the tension is obvious. The patient's complaint is often characterized by a gradual swelling in the litter area, with pain in the back of the knee. Occasionally cysts can be oppressed to block venous return, causing calf edema. When the cyst grows to a certain extent, the knee flexion and extension activity is limited.

2, underarm pain: one of the signs of instability of the humerus, tenderness is mostly distributed in the inner edge of the tibia and the medial support zone. When the examiner presses the patient's tibia and performs the flexion and extension test, it can induce subgingival pain. The clinical tenderness is sometimes inconsistent with the painful part of the patient's complaint.

3, humeral pain: humeral femoral pain syndrome in the early stage of walking, up and down stairs, knees when standing up, there will be pain in the knees, in severe cases there will be sudden knees in the walking room can not force, or even unstable.

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