The overhand throw creates stresses on the growth areas of the immature elbow. Although throwing injuries in the elbow most commonly occur in pitchers, they can be seen in any child who participates in repetitive overhand throwing. Throwing Injuries in the ElbowĪ child’s elbow can be injured from repetitive overhand throwing, as seen with pitching in baseball. The recovery time for a fracture of the patella requires prolonged absence from sports. A fracture at the lower end of the kneecap will require treatment with casting or surgery, depending upon the type of fracture. Like Osgood-Schlatter disease, Jumper’s knee can result in a fracture if a child continues to participate in sports activity without adequate rest. Non-steroidal anti-inflammatory medications may also help to relieve painful symptoms. In addition to rest, your doctor may recommend applying an ice pack to the knee every 2 to 3 hours for a few days until the pain starts to go away. Whether the problem stems from the tendon or growth plate, a child will need to rest from sports activities until the pain resolves. This condition is referred to as Sinding-Larsen-Johansson disease.Īlthough these types of problems in the kneecap commonly occur in children who are active in sports that involve jumping, such as basketball and volleyball, they can be seen in almost any sport. In growing children, the patellar tendon attaches to the growth plate of the kneecap, and repetitive stress on the tendon can irritate and injure the growth plate. Repetitive contraction of the quadriceps muscles in the thigh can stress the patellar tendon where it attaches to the kneecap, causing inflammation and tissue damage (this condition is also known as patellar tendinitis). Jumper’s knee symptoms occur where the patellar tendon attaches to the patella. These painful symptoms can range from mild to severe. Jumper’s knee refers to pain that occurs in the lower portion of the kneecap (patella). In order for the fracture to safely heal, a child will not be allowed to participate in sports for a prolonged period of time. Treatment for this type of fracture will require casting or even surgery. Continued stress on the tibial tubercle from athletic activity could potentially lead to a break in the tubercle bone.
Until a child is fully grown, however, Osgood-Schlatter disease can lead to more severe problems if it is not allowed to heal. However, the prominence of the tubercle will persist. Most symptoms will completely disappear when a child completes the adolescent growth spurt, around age 14 for girls and age 16 for boys. If the pain is severe and interferes with walking and normal daily activities, a cast or cast brace may be applied to completely rest the knee area.
Drugs like ibuprofen and naproxen reduce pain and swelling.
Stretches for the front and back of the thigh (quadriceps and hamstring muscles) may help relieve pain and prevent the disease from returning. Treatment of Osgood-Schlatter disease focuses on limiting exercise activity until the pain resolves. Painful symptoms are often brought on by running, jumping, and other sports-related activities. The prominence, or bump, of the tibial tubercle may become very pronounced. In some children, this repetitive traction on the tubercle leads to inflammation, swelling, and tenderness. When a child is active, the quadriceps muscles of the thigh pull on the patellar tendon which in turn, pulls on the tibial tubercle. Osgood-Schlatter disease can cause inflammation and pain at the tibial tubercle – the place where the patellar tendon attaches to the tibia (shinbone).
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