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previously visited 11 YO FEMALE WITH SWOLLEN RIGHT KNEE Random Case
Authored By: Dr Phillip Silberberg, Children's Hospital Omaha, Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA.
Patient: 11 year old
History: 11 y/o female soccer player with no history of trauma. Patient is focally tender on examination.
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Findings: Thickening and signal change in the distal patellar ligament. There is edema in the infrapatellar fat pad and anterolateral proximal tibial epiphysis. A 7mm area of increased signal intensity is seen in the bone of the tibial tuberosity apophysis, which suggest slight superior avulsion of the small ossicles from the developing ossification center.
Diagnosis: Osgood-Schlatter Disease
Discussion:

Traumatically induced disruption of the attachment of the patellar ligament to the tibial tuberosity (no osteonecrosis); bilateral in 25%

-Age: 10-15 years; M>F
-local pain and tenderness
-soft tissue swelling
-indistinct margin of patellar tendon
-single/multiple ossifications in avulsed fragment

DDX: normal ossification pattern of tibial tuberosity between ages 8-14 (no symptoms)

References: Electronic Dahnert
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Additional Details:

Case Number: 766103Last Updated: 10-13-2004
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Anatomy: Skeletal System   Pathology: Trauma
Modality: MRAccess Level: Readable by all users
Contained in: Osgood-Schlatter Disease , Skeletal System, TRAUMA
Case has been viewed 1701 times.

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