• Nuffield Hospital Leeds

    2 Leighton street, Leeds, LS1 3EB
    Main switchboard: 0113 388 2000
    Out-patient bookings: 0113 388 2067

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    BMI The Duchy Hospital Harrogate

    Queens Road, Harrogate, HG2 OHF
    Main switchboard: 01423 567136
    Out-patient bookings: 0808 101 0337

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    Spire Methley Park Hospital

    Methley Lane, Methley, Leeds, LS26 9HG
    Main switchboard: 01977 518518
    Out-patient bookings: 01977 518518

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  • Adolescent Knee Injuries

    Knee pain in adolescence is relatively common and varies from simple
    knee sprains (seen in all athletes) to major knee injuries. Many of
    these have been outlined in the other specific sports sections. However,
    there are some common conditions associated with sporting activities
    that are seen normally in adolescence. These may be due to simple
    muscle imbalance during the rapid growth phases (11-14yrs – girls,
    12-15yrs – boys) and usually settle with physiotherapy rehabilitation.

    Osgood-Schlatter disease

    This common condition affects mostly sporty adolescents during the ‘growth spurt’ years. It occurs over the bony prominence at the front just below the knee and is worse with activities. Rest helps settle the symptoms but continuing with sporting activities does not appear to cause more problems other than possibly prolonging the symptoms. It usually settles over a period of 1-2 years. Similar pain at the lower tip of the knee cap (Sinding-Larsen-Johansson disease) follows the same course.

    Click here and read “Osgood-Schlatter Disease” in Tendinitis and Overuse Injuries

    Patella instability / dislocation

    Problems with pain or tracking of the knee cap is extremely common particularly in the female adolescent. Occasionally the problems with ‘tracking’ are so bad that the knee cap subluxes or dislocates. Rest and immobilisation are followed by physiotherapy initially. Failure to respond to rehabilitation or recurrent problems may lead to surgical treatment ultimately.

    Click here to link to Patella Problems

    OCD – osteochondritis dissecans

    This uncommon condition affects the joint surface of the knee and is thought to be due to temporary problem with the blood supply to a portion of the bone below leading to separation of a portion of bone and joint surface. Often these heal by themselves but occasionally they can completely loosen and break off within the knee. OCD causes pain and swelling at first but both can settle and diagnosis can therefore be difficult. Sometimes the condition can be seen on an x-ray but usually MRI is required. Treatment is initially rest and protection of the joint surface. Surgery is reserved for those which fail to settle, are more advanced or if a fragment loosens or locks the knee.

    Click here to link to Joint Surface Problems

    Click here and read “Osteochondritis Dissecans (OCD)” in the Joint Surface Problems section