The tenderness of the inferior pole of the patella is usually accompanied by roentgenographic evidence of splintering of that pole. A diagnosis of sindinglarsenjohansson syndrome osteochon drosis of the inferior pole of the patella was made. Your child is diagnosed with sindinglarsenjohansson syndrome. It is not osteonecrosis, epiphysitis or osteochondritis as previously described. Pe26 sindinglarsenjohansson syndrome seattle childrens. Enfermedad sinding larsen johansson doctor villanueva. The sinding larsen johansson syndrome is a rupture or avulsion of the patellar ligament at the distal point of the patella caused by traction. Sindrome sindinglarsenjohansson sistema locomotor bemestar. When were still growing, the tendon attaches to a growth plate at the bottom of. Rectus femoris, part of the quadriceps femoris, which is a continuation of it.
The patellar ligament or tendon is the distal part of the tendon of the m. Sinding larsen johansson disease slj, also known as sindinglarsen disease or larsenjohansson syndrome, affects the proximal end of the patellar tendon as it inserts into the inferior pole of the patella it represents a chronic traction injury of the immature osteotendinous junction. Advertisement it is named after the doctors who discovered this condition. Its caused by the repetitive pulling of the kneecap tendon when running or jumping. It is weaker and more at risk for injury than the rest of the bone. Sinding larsen johansson syndrome original editor andrew klaehn, yelena gesthuizen as part of the vrije universiteit brussel evidencebased practice project top contributors yelena gesthuizen, andrew klaehn, michelle lee and naomi oreilly contents hide 1 search strategy 2 definition. Complete recovery can be expected with the closure of the patella growth plate.
Sinding larsen johansson slj syndrome is a painful knee condition that most commonly affects teens during periods of rapid growth. Sinding larsen and johansson syndrome was described independently by norwegian physician christian magnus falsen sinding larsen and swedish surgeon sven christian johansson. It is a type of osteochondrosis at the proximal attachment of patellar ligament, which is common in adolescents especially those who participate in jumping activities. Us image shows swelling of the cartilage, fragmentation of the lower pole of the patella, patellar tendon. Pdf arthroscopic treatment of painful sindinglarsen. Sindinglarsen johansson disease slj sports medicine. The sinding larsen johansson syndrome is caused by increased tension and pressure due to repetitive traction by the patellar tendon on the lower pole of the patella still partly cartilaginous in adolescents during. Sinding larsen johansson syndrome has a similar radiographic appearance with injuries as sleeve fracture, osteochondritis of the patella, stress fracture of the patella and tendinitis of the patellar tendon. There is traction on the kneecap at this point due to action of the large, powerful. From outside the hospital, call the tollfree family interpreting line, 1. Sinding larsen johansson syndrome description sinding larsen johansson syndrome is characterized by inflammation of the kneecap patella at its lowest point in the area of the growth center. Sinding larsen johansson syndrome 1 of 2 to learn more sports physical therapy 2069876400 ask your childs healthcare provider free interpreter services in the hospital, ask your nurse.
Learn symptoms, treatment and diagnosis of sindig larsen johannson disease, a child condition causing pain and swelling on the kneecap patellar apophysitis. Sindinglarsenjohansson disease slj this is a painful knee condition that most commonly affects teen athletes during periods of rapid growth. Sindinglarsenjohansson syndrome is characterized by inflammation of the kneecap. Sinding larsen johansson syndrome sindinglarsen and. It is a closely related condition to osgoodschlatter disease. Sinding larsen johansson syndrome slj is a juvenile osteochondrosis and traction epiphysitis affecting the extensor mechanism of the knee which disturbs the patella tendon attachment to the inferior pole of the patella. Sinding larsen johansson disease slj this is a painful knee condition that most commonly affects teen athletes during periods of rapid growth.
Sinding larsen johansson is commonly seen in active adolescents aged between 10 and 14 years, as described in our patient. Sinding larsen johansson slj syndromesignssymptoms. Sindinglarsen and johansson syndrome, named after swedish surgeon sven christian johansson 18801959, and christian magnus falsen sindinglarsen 18661930, a norwegian physician, is apophysitis of the inferior pole of the patella. From outside the hospital, call the tollfree family interpreting line, 18665831527. Essa complicacao causa grande dor, durante a atividade, e extrema sensibilidade, quando a apice da patela e pressionada. Sinding larsen johansson syndrome commonly affects adolescents and young boys who are physically active during their growth spurts.
Mar 28, 2012 sinding larsen johansson syndrome was diagnosed and the patient was told to refrain from sports activity, which was a difficult task in this particular case. Sindinglarsenjohansson syndrome definition of sinding. Sindinglarsen and johansson syndrome, named after swedish surgeon sven christian johansson 18801959, and christian magnus falsen sindinglarsen. Pdf a spectrum of entities is involved in injury to the inferior aspect of the patella and the proximal patella tendon, including sindinglarsen. Sinding larsen johansson syndrome sinding larsen yohanson. Learn symptoms, treatment and diagnosis of sindiglarsenjohannson disease, a child condition causing pain and swelling on the kneecap patellar apophysitis. It is not osteonecrosis, epiphysitis or osteochondritis as previously described in the literature. Sindinglarsenjohansson disease radiology reference. Sep 17, 2018 sinding larsen johansson slj syndrome is the name of a group of injuries or bone defectsdiseases causing pain in the knee in young children and adolescents. It goes over the patella and is attached to the tibial tuberosity. Sinding larsen johansson syndrome is a selflimiting syndrome. Sinding larsen johansson syndrome is an osteochondrosis of the inferior pole of the patella and is often bilateral.
Sindinglarsenjohansson childrens hospital colorado. It is caused by swelling and irritation of the growth plate there. Office of communications and public liaison national institute of neurological disorders and stroke national institutes of health bethesda, md 20892. It is analogous to osgoodschlatter disease which involves the upper margin of the tibia. Sindrome sindinglarsen johansson linkedin slideshare. A growth plate is a layer of cartilage near the end of a bone where most of the bones growth happens. The sinding larsen johansson syndrome has a pathogenesis similar to that of the osgoodschlatter disorder and is the result of excessive force exerted by sinding larsen johansson syndrome. Your kneecap, or patella, is connected to your shinbone tibia by the patellar tendon. The sinding larsen johansson syndrome has a pathogenesis similar to that of the osgoodschlatter disease and the two disorders sometimes occur simultaneously. Adolescents who participate in sports involving running, twisting and jumping such as basketball, football, and gymnastics etc are more prone to this condition. Although symptoms of sinding larsen johansson syndrome may linger for months, few patients have poor outcomes with conservative treatment, and surgical intervention is seldom necessary. This is an irritation of the growth plate at the bottom of the kneecap.
693 1507 1088 965 560 361 670 864 225 644 419 1406 496 1475 582 927 654 222 881 430 529 439 662 78 1428 890 443 624 304 893 716 828 1156 908 475 367 1073 270 790 800