Abstract
Jumper’s knee, Osgood-Schlatter disease, and Sinding-Larsen-Johansson syndrome are the most frequent overuse syndromes of the knee. The diseases depend mainly on training frequency and level of performance, but many factors, both intrinsic and extrinsic, contribute to the pathogenesis: weight, body mass index, waist-to-hip ratio, arch height of the foot, quadriceps flexibility and strength, hamstring flexibility, and vertical jump performance, as well as different intrinsic factors (ligamentous laxity, Q-angle, patella height, tenderness, pattern of force development) and the hardness of the ground underneath. The diagnostic criteria include local pain, swelling, and tenderness upon clinical examination. Ultrasonography is a very useful tool in the diagnosis and in the follow-up.
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Draghi F, Danesino GM, Coscia D, Precerutti M, Pagani C. Overload syndromes of the knee in adolescents: sonographic findings. J Ultrasound. 2008;11(4):151–7.
Tibesku CO, Pässler HH. Jumper’s knee—a review. Sportverletz Sportschaden. 2005;19(2):63–71.
Fredberg U, Bolvig L. Jumper’s knee. Review of the literature. Scand J Med Sci Sports. 1999;9(2):66–73.
Hyman GS. Jumper’s knee in volleyball athletes: advancements in diagnosis and treatment. Curr Sports Med Rep. 2008;7(5):296–302.
Khan KM, Cook JL, Kiss ZS, Visentini PJ, Fehrmann MW, Harcourt PR, et al. Patellar tendon ultrasonography and jumper’s knee in female basketball players: a longitudinal study. Clin J Sport Med. 1997;7:199–206.
Schwartz A, Watson JN, Hutchinson MR. Patellar tendinopathy. Sports Health. 2015;7(5):415–20.
Khan KM, Bonar F, Desmond PM, Cook JL, Young DA, Visentini PJ, et al. Patellar tendinosis (jumper’s knee): findings at histopathologic examination, US, and MR imaging. Victorian Institute of Sport Tendon Study Group. Radiology. 1996;200(3):821–7.
Visnes H, Tegnander A, Bahr R. Ultrasound characteristics of the patellar and quadriceps tendons among young elite athletes. Scand J Med Sci Sports. 2015;25(2):205–15.
Gisslèn K, Gyulai C, Söderman K, Alfredson H. High prevalence of jumper’s knee and sonographic changes in Swedish elite junior volleyball players compared to matched controls. Br J Sports Med. 2005;39(5):298–301.
Gisslén K, Alfredson H. Neovascularisation and pain in jumper’s knee: a prospective clinical and sonographic study in elite junior volleyball players. Br J Sports Med. 2005;39(7):423–8.
Crema MD, Cortinas LG, Lima GBP, Abdalla RJ, Ingham SJM, Skaf AY. Magnetic resonance imaging-based morphological and alignment assessment of the patellofemoral joint and its relationship to proximal patellar tendinopathy. Skelet Radiol. 2018;47(3):341–9.
Stuhlman CR, Stowers K, Stowers L, Smith J. Current concepts and the role of surgery in the treatment of jumper’s knee. Orthopedics. 2016;39(6):e1028–35.
Osgood RB. Lesions of the tibial tubercle occurring during adolescence. Clin Orthop. 1903;(286):4–9.
Schlatter C. Verletzungen des schnabelformigen: fortsatzes der oberen tibiaepiphyse. Beitr Klin Chir. 1903;(38):874.
Demirag B, Ozturk C, Yazici Z, Sarisozen B. The pathophysiology of Osgood-Schlatter disease: a magnetic resonance investigation. J Pediatr Orthop B. 2004;13(6):379–82.
Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW. Osgood Schlatter syndrome. Curr Opin Pediatr. 2007;19(1):44–50.
Kujala UM, Kvist M, Heinonen O. Osgood-Schlatter’s disease in adolescent athletes. Retrospective study of incidence and duration. Am J Sports Med. 1985;13(4):236–41.
Hirano A, Fukubayashi T, Ishii T, Ochiai N. Magnetic resonance imaging of Osgood-Schlatter disease: the course of the disease. Skelet Radiol. 2002;31(6):334–42.
Dupuis CS, Westra SJ, Makris J, Wallace EC. Injuries and conditions of the extensor mechanism of the pediatric knee. Radiographics. 2009;29(3):877–86.
Draghi F, Corti R, Urciuoli L, Alessandrino F, Rotondo A. Knee bursitis: a sonographic evaluation. J Ultrasound. 2015;18(3):251–7.
Draghi F, Ferrozzi G, Urciuoli L, Bortolotto C, Bianchi S. Hoffa’s fat pad abnormalities, knee pain and magnetic resonance imaging in daily practice. Insights Imaging. 2016;7(3):373–83.
Rosenberg ZS, Kawelblum M, Cheung YY, Beltran J, Lehman WB, Grant AD. Osgood-Schlatter lesion: fracture or tendinitis? Scintigraphic, CT, and MR imaging features. Radiology. 1992;185(3):853–8.
Starr AM, Wessely MA, Albastaki U, Pierre-Jerome C, Kettner NW. Bone marrow edema: pathophysiology, differential diagnosis, and imaging. Acta Radiol. 2008;49(7):771–86.
Gitto S, Draghi F. Bone marrow oedema in acute Osgood-Schlatter disease: a possible cause of knee pain. EURORAD. 2005. https://doi.org/10.1594/EURORAD/CASE.12999.
Maxwell NJ, Ryan MB, Taunton JE, Gillies JH, Wong AD. Sonographically guided intratendinous injection of hyperosmolar dextrose to treat chronic tendinosis of the Achilles tendon: a pilot study. AJR Am J Roentgenol. 2007;189(4):W215–20.
Pihlajamäki HK. Long-term outcome after surgical treatment of unresolved Osgood-Schlatter disease in young men. J Bone Joint Surg Am. 2009;91(10):2350.
Beyzadeoglu T, Inan M, Bekler H, Altintas F. Arthroscopic excision of an ununited ossicle due to Osgood-Schlatter disease. Arthroscopy. 2008;24(9):1081–3.
Weiss JM, Jordan SS, Andersen JS, Lee BM, Kocher M. Surgical treatment of unresolved Osgood-Schlatter disease: ossicle resection with tibial tubercleplasty. J Pediatr Orthop. 2007;27(7):844–7.
Anderson SJ. Overuse knee injuries in young athletes. Phys Sportsmed. 1991;19(12):69–80.
De Flaviis L, Nessi R, Scaglione P, Balconi G, Albisetti W, Derchi LE. Ultrasonic diagnosis of Osgood-Schlatter and Sinding-Larsen-Johansson diseases of the knee. Skelet Radiol. 1989;18(3):193–7.
Valentino M, Quiligotti C, Ruggirello M. Sinding-Larsen-Johansson syndrome: a case report. J Ultrasound. 2012;15(2):127–9.
Barbuti D, Bergami G, Testa F. Ultrasonographic aspects of Sinding-Larsen-Johansson disease. Pediatr Med Chir. 1995;17(1):61–3.
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Draghi, F. (2019). Overuse Syndromes of the Knee. In: Ultrasonography of the Lower Extremity. Springer, Cham. https://doi.org/10.1007/978-3-030-14991-8_10
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DOI: https://doi.org/10.1007/978-3-030-14991-8_10
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