Herrero-Morín J David, Fernández González Nuria, Gutiérrez Díez Cruz, Pérez Menéndez María T, Fernández Fernández Eva M
Centro de Salud de Infiesto, Área Sanitaria VI, Asturias, España.
Hospital Universitario Central de Asturias, Oviedo, Asturias, España.
Arch Argent Pediatr. 2017 Dec 1;115(6):e445-e448. doi: 10.5546/aap.2017.e445.
Knee pain is one of the most frequent musculoskeletal symptoms in young physically active males. Common entities of clinical diagnosis as osteochondritis/apophysitis and others that need complementary studies should be considered in the differential diagnosis. We present the case of a 12-year-old male athlete with continuous pain in his right knee that intensifies with physical activity and with direct pressure. Diagnosis of Osgood-Schlatter disease is made by exploratory data, pain-to-finger palpation on the anterior tibial tuberosity, and is confirmed by radiology. This entity is described as well as the main pathologies derived from overuse to make differential diagnosis and to stress preventive measures regarding a correct orientation in the sport activity.
膝关节疼痛是年轻、身体活跃的男性中最常见的肌肉骨骼症状之一。在鉴别诊断中应考虑临床诊断为骨软骨炎/骨骺炎等需要补充检查的常见病症。我们报告一例12岁男性运动员病例,其右膝关节持续疼痛,运动和直接按压时疼痛加剧。通过探查性检查、胫骨结节前方压痛确诊为奥斯古德-施拉特病,并经放射学检查证实。本文描述了该病症以及过度使用导致的主要病理情况,以进行鉴别诊断并强调在体育活动中正确指导的预防措施。