Viva Voce on Knee Injuries and Osgood-Schlatter
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Questions and Answers

What is the main cause of knee pain in adolescents with Osgood-Schlatter disease?

  • Dehydration during sports
  • Growth spurt affecting the tibial tuberosity (correct)
  • Chronic knee strain from daily activities
  • Injury during a fall
  • Which factor does NOT predispose an adolescent to Osgood-Schlatter disease?

  • Excessive subtalar pronation
  • Tight muscles surrounding the knee
  • Sedentary lifestyle (correct)
  • Repeated contraction of the quadriceps muscle
  • What is a common symptom of Osgood-Schlatter disease?

  • Swelling below the knee (correct)
  • Enhanced range of motion in the knee
  • Increased strength in the quadriceps
  • Pain while sitting for long periods
  • Which treatment method is NOT recommended for Osgood-Schlatter disease?

    <p>Continuous high-impact sports participation</p> Signup and view all the answers

    During the treatment of Osgood-Schlatter disease, which type of stretching is typically advised?

    <p>Quadriceps stretches</p> Signup and view all the answers

    Which statement about the mechanism of Osgood-Schlatter is true?

    <p>It leads to irregular bone growth due to pulling on the tibial tuberosity.</p> Signup and view all the answers

    Is there a gender predisposition for Osgood-Schlatter disease?

    <p>Yes, males are more affected than females.</p> Signup and view all the answers

    Which of the following exercises is NOT recommended for someone recovering from Osgood-Schlatter disease?

    <p>High-intensity sprinting workouts</p> Signup and view all the answers

    What effect does tightening muscles around the knee have in relation to Osgood-Schlatter disease?

    <p>Decreases mobility around the knee joint</p> Signup and view all the answers

    Study Notes

    Viva Voce Stations

    • Students have a viva voce with 4 stations.
    • A coin toss determines which stations a student is assigned to.
    • Potentially, 8 injuries can be assessed per student.
    • 2 stations assess acute injuries.
    • 2 stations assess chronic injuries.

    Viva Topics

    • Knee Injuries: Anterior Cruciate Ligament injury, Elbow joint dislocation, Hamstring strain, Ankle sprain, Patella tendonitis.
    • Other Injuries: Osgood-Schlatters syndrome, Plantar Fasciitis, Chondromalacia patellae.

    Osgood-Schlatter Disease

    • Causes pain and swelling in the knee in adolescents.
    • Due to growth spurts.
    • Pain is below the knee joint, at the tibial tuberosity, where the kneecap meets the shinbone.

    Anatomy of Osgood-Schlatter

    • Damages the growth plate at the tibial tuberosity and patellar tendon.
    • Can result in irregular bone growth.
    • Swelling and reduced mobility occur.

    Predisposing Factors for Osgood-Schlatter

    • Growth spurts: during adolescence.
    • Quadriceps muscle overuse: Repeated contractions weaken the ossification centre.
    • Knee extension: Repeated straightening beyond the normal range.
    • Tight surrounding muscles: (quadriceps) and increased tension on the patellar tendon, often worsened by sports activities with running and jumping.
    • Male gender presents an increased risk.

    Mechanism of Osgood-Schlatter

    • Excessive subtalar pronation: This involves excessive outward rolling of the foot.
    • Excessive pulling on the tibial tuberosity: Caused by the patellar tendon during growth spurts in adolescents, leading to swelling below the knee.

    Treatment for Osgood-Schlatter

    • Reduced load: This involves reducing activities that stress the knee.
    • Orthotics: Used to limit subtalar pronation and stress on knee ligaments.
    • Sports withdrawal: Temporarily resting from sports activities.

    Program Modifications (Potential Treatment)

    • Stretching program: Quadriceps stretch (3 x 30 seconds), seated calf stretch (5 x 30 seconds), and knee straightening (3 times per hour).
    • Massage therapy: Focused on the quadriceps muscles.
    • Muscle strengthening exercises: If possible.

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    Description

    This quiz explores the assessment of knee injuries through a viva voce format. Students will engage with topics like acute and chronic injuries, specifically focusing on conditions such as Osgood-Schlatter Disease. Understand the anatomy, causes, and implications of these injuries in adolescents.

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