Sindinglarsen johansson disease, first described in 1921, is one of the osteochondroses. Sinding larsen johansson syndrome slj is a juvenile osteochondrosis and. Sindinglarsenjohansson disease childrens orthopaedic and. Although symptoms of sinding larsen johansson syndrome may linger for months, few patients have poor outcomes with conservative treatment, and surgical intervention is generally not necessary. Sindinglarsen and johansson syndrome, named after swedish surgeon sven christian johansson 18801959, and christian magnus falsen sindinglarsen 18661930, a norwegian physician, is apophysitis of the inferior pole of the patella.
Sinding larsen johansson syndrome is a selflimiting syndrome. Adolescents who participate in sports involving running, twisting and jumping such as basketball, football, and gymnastics etc are more prone to this condition. Sindinglarsenjohansson disease synonyms, sindinglarsenjohansson disease pronunciation, sindinglarsenjohansson disease translation, english dictionary definition of sindinglarsenjohansson disease. Patellar sleeve avulsions psa are rare injuries that occur in children and adolescents, and represent less than 1% of all pediatric fractures 1, 2.
Sinding larsen johansson slj syndrome is a painful knee condition that most commonly affects teens during periods of rapid growth. Sindinglarsen johansson disease definition of sinding. The symptoms rapidly regressed and after 5 months the patient had completely recovered and us followup revealed no anomaly. Pain is usually related to activity and is typically over the inferior pole of the patella. Sinding larsen johansson syndrome slj is a condition affecting children younger than children affected with osgoodschlatter disease, generally between the ages of seven and thirteen, before adolescence. Patellar sleeve avulsion fracture in a patient with. It begins superiorly at the anterior inferior iliac spine aiis and extends distally. This may be inflammation of the cartilage of the growing patella, death of tendon cells from repeated stress, or pulling off of the lining of the patellar bone. The peak incidence of sleeve fractures in children is 12. These images are a random sampling from a bing search on the term sindinglarsenjohansson disease. Sinding larsen johansson syndrome results from stress a single sudden incident or repeated or injury of the lower patella that interferes with development, causing inflammation. It is not osteonecrosis, epiphysitis or osteochondritis as previously described in the literature.
Sinding larsen johansson syndrome pain free physiotherapy. Sinding larsen johansson syndrome is an osteochondrosis of the inferior pole of the patella and is often bilateral. Children often complain of pain and swelling at the bottom of the knee cap that may be worsened by climbing stairs, running, jumping, deep bending of the knee, or kneeling. Knee sindinglarsenjohansson syndrome treatments bracing and immobilization home recovery depending on your level of activity and on the degree of pain and discomfort you are experiencing from sindinglarsenjohansson slj syndrome, your doctor may suggest that you wear a protective knee brace or a light cast. Sinding larsen johansson syndrome presents in growing boys and girls as. Some diseases are acute, producing severe symptoms that. It represents a chronic traction injury of the immature osteotendinous junction. Acupuncture meridianbased myofascial release to treat knee. Find out information about sindinglarsenjohansson disease. This usually takes between 6 to 12 months but may persist for as long as 2 years. Sindinglarsenjohansson slj syndrome is a type of osteochondrosis of.
Sinding larsen johansson slj syndromesignssymptoms. Acupuncture meridianbased myofascial release to treat. Sindinglarsenjohansson slj syndrome is a painful knee condition that most commonly affects teens during periods of rapid growth. The strickland protocol is the only proven treatment in the world today to treat and cure osgood schlatters disease. Treatments welcome to insall scott kelly institute. Sindinglarsen 1 reported an affection of the distal pole of the patella in two adolescents based on a lecture by johansson, who was the first to describe the disease. Rectus femoris, part of the quadriceps femoris, which is a continuation of it. Pain free return to sports competition was possible after 5 months. Sindinglarsenjohansson syndrome results from stress a single sudden. Both conditions may coexist, resulting in anterior knee pain in a child. Sindinglarsenjohansson syndrome south african journal.
Initial treatment consists of medications and ice to relieve pain, stretching. The sindinglarsen johansson syndrome is a rupture or avulsion of the patellar ligament at the distal point of the patella caused by traction. The sinding larsen johansson syndrome has a pathogenesis similar to that of the osgoodschlatter disease and the two disorders sometimes occur simultaneously. It is an osteochondrosis of the distal patella, secondary. The sinding larsen johansson syndrome is caused by increased tension and pressure due to repetitive traction by the patellar tendon on the lower pole of the patella still partly cartilaginous in adolescents during. This variant was discovered in 1908, during a winter indoor olympic. Osgoodschlatter and sindinglarsen syndrome fit to play. Sinding larsen johansson is commonly seen in active adolescents aged between 10 and 14 years, as described in our patient.
Free interpreter services in the hospital, ask your nurse. Sinding larsen johansson syndrome commonly affects adolescents and young boys who are physically active during their growth spurts. Sindinglarsenjohansson syndrome is a selflimiting syndrome. Physical therapy or home exercises are an important part of treatment.
There is point tenderness at the bonetendon junction, and osgoodschlatter disease may be present. It goes over the patella and is attached to the tibial tuberosity. Complete recovery can be expected with the closure of the patella growth plate. Jan 14, 2015 sinding larsen johansson disease, first described in 1921, is one of the osteochondroses. This can occur in growth spurts or overuse from running, jumping or squatting. The mri confirmed his diagnosis, but was worse than he initially thought.
Care of the young athlete, 2nd edition, harris ss, anderson sj eds, american academy of orthopedic surgeons and american academy of pediatrics, elk grove village 2010. The thigh muscles and tendon can become very tight and cause stress on the knee cap. Causes and symptoms of sinding larsen johansson disease. Sindinglarsenjohansson syndrome definition of sinding. Pain in activities like stair climbing, squatting and kneeling. In comparison, a sleeve fracture is a traumatic separation of the distal articular. Most reported cases of psa involve the inferior patellar pole, but less frequent bilateral and superior pole fractures have also been reported 3, 4. Although symptoms of sinding larsen johansson syndrome may linger for months, few patients have poor outcomes with conservative treatment, and surgical intervention is seldom necessary. Sindinglarsenjohansson disease is a self limiting condition that gradually resolves as the patient moves towards skeletal maturity. Sindinglarsenjohansson syndrome results from stress a single sudden incident or repeated or injury of the lower patella that interferes with development, causing inflammation. Sindinglarsenjohansson disease the free dictionary. Sindinglarsenjohansson syndrome is an osteochondrosis of the inferior pole of the patella and is often bilateral. Case discussion it is an osteochondrosis caused by chronic avulsion injury common between the ages of 1012 years. Sindinglarsenjohansson syndrome sinding larsen yohanson, apophysitis of the distal pole of the patella.
The patient returned to competitive play 5 months after surgery and was painfree. Tony was a star sprinter on the track and field team at his middle school, but in high school it seemed like his friends matured earlier and surpassed him. Here is where i do my best to explain what sindinglarsenjohansson slj syndrome is remember i am not a doctor, nurse, nor have i. The sindinglarsenjohansson syndrome is caused by increased tension and pressure due to repetitive traction by the patellar tendon on the lower pole of the patella still partly cartilaginous in adolescents during. Sindinglarsenjohansson childrens hospital colorado. Severs disease is an analogous condition affecting the achilles tendon attachment to the heel.
Sinding larsen johansson disease is an irritation of the growth plate at the bottom of the knee cap. To our knowledge, there are no case reports of inferior pole psa with prior slj syndrome published in literature. Sinding larsen johansson disease synonyms, sinding larsen johansson disease pronunciation, sinding larsen johansson disease translation, english dictionary definition. Sinding larsen johansson syndrome sindinglarsen and. The patellar ligament or tendon is the distal part of the tendon of the m. Sindinglarsenjohansson disease slj, also known as sindinglarsen disease or larsenjohansson syndrome, affects the proximal end of the patellar tendon as it inserts into the inferior pole of the patella it represents a chronic traction injury of the immature osteotendinous junction. Sindinglarsen johansson syndrome slj and osgood schlatter disorder osd are osteochondroses. Patellar sleeve avulsion fracture in a patient with sinding. Sindinglarsenjohansson disease article about sinding. Sinding larsenjohansson is commonly seen in active adolescents aged between 10 and 14 years, as described in our patient. It is often referred to as jumpers knee and coincides with growth spurts. A growth plate is a layer of cartilage near the end of a bone where most of the bones growth happens. A hitherto unknown affection of the patella in children. Sinding larsen and johansson syndrome, is an analogous condition involving the patellar tendon and the lower margin of the patella bone, instead of the upper margin of the tibia.
From outside the hospital, call the toll free family interpreting line, 18665831527. Sindinglarsen johansson disease slj sports medicine. Pe26 sindinglarsenjohansson syndrome seattle childrens. Sindinglarsenjohansson syndrome sinding larsen yohanson. Sindinglarsenjohansson slj syndrome is pain at the bottom of the kneecap patella. It is weaker and more at risk for injury than the rest of the bone. Tell the interpreter the name or extension you need. Us image shows swelling of the cartilage, fragmentation of the lower pole of the patella, patellar tendon. This condition called sindinglarsen and johansson syndrome was described independently by sindinglarsen in 1921 and johansson in 1922. Knee sinding larsen johansson syndrome treatments bracing and immobilization home recovery depending on your level of activity and on the degree of pain and discomfort you are experiencing from sinding larsen johansson slj syndrome, your doctor may suggest that you wear a protective knee brace or a light cast. It is an osteochondrosis of the distal patella, secondary to excessive traction caused by the extensor mechanism. In cases of painful sindinglarsenjohansson syndrome that are recalcitrant to conservative treatment, arthroscopic excision of the distal pole of the patella is an effective procedure that allows the tendon to be checked and return to sports within a few months. It is analogous to osgoodschlatter disease which involves the upper margin of the tibia. Sindinglarsenjohansson syndrome was diagnosed and the patient was told to refrain from sports activity, which was a difficult task in this particular case.
Pdf a spectrum of entities is involved in injury to the inferior aspect of the patella and the proximal patella. Click on the image or right click to open the source website in a new browser window. The sindinglarsenjohansson syndrome has a pathogenesis similar to that of the osgoodschlatter disorder and is the result of excessive force exerted by sindinglarsenjohansson syndrome. Find out information about sinding larsen johansson disease. Knee sindinglarsenjohansson syndrome treatments patellar tendon strap home recovery wearing a patellar tendon strap, which is designed to reduce inflammation of the patellar tendon and keep the kneecap aligned correctly, can help in the treatment. Sinding larsen johansson disease slj, also known as sinding larsen disease or larsen johansson syndrome, affects the proximal end of the patellar tendon as it inserts into the inferior pole of the patella. He started training extra hard to make up the ground he felt hed lost. The sindinglarsenjohansson syndrome has a pathogenesis similar to that of the osgoodschlatter disorder and is the result of excessive. The sindinglarsenjohansson syndrome has a pathogenesis similar to that of the osgoodschlatter disease and the two disorders sometimes occur simultaneously.
Mar 28, 2012 sinding larsen johansson syndrome was diagnosed and the patient was told to refrain from sports activity, which was a difficult task in this particular case. Sindinglarsen johansson disease slj is a possible cause of knee pain in 8toyearold active individuals. Sinding larsen 1 reported an affection of the distal pole of the patella in two adolescents based on a lecture by johansson, who was the first to describe the disease. The extensor mechanism of the knee is an integral and vital part of normal function of the lower extremity. These images are a random sampling from a bing search on the term sinding larsen johansson disease. The condition is usually seen in athletic individuals typically between 1014 years of age.
Irregular calcifications of the proximal insertion of the patellar tendon in keeping with sindinglarsenjohansson disease. An abnormal condition of a part, organ, or system of an organism resulting from various causes, such as infection, inflammation. Sep 17, 2018 sinding larsen johansson syndrome commonly affects adolescents and young boys who are physically active during their growth spurts. Pdf sindinglarsenjohansson slj syndrome is a type of osteochondrosis of the distal pole of the patella most often caused by repeated microtrauma find, read and cite all the research.
Arthroscopic treatment of painful sindinglarsenjohansson. The adult equivalent of this disease is patellar tendinitis. A rare occurrence of sindinglarsen johansson syndrome with osgoodschlatter disorder in a nigerian child. Although symptoms of sindinglarsenjohansson syndrome may linger for months, few patients have poor outcomes with conservative treatment, and surgical intervention is seldom necessary. Doctors at childrens hospital colorado diagnose sindiglarsenjohannson based on a child or young adults symptoms, physical examination and occasionally an xray of the knee. Feb 28, 2011 robert bernstein md chief of pediatric orthopedics surgery cohen childrens hospital, orthopedic residency massachusetts general hospital, fellowship ped. A case report article pdf available january 2019 with 169 reads how we measure reads.
Your child is diagnosed with sinding larsen johansson syndrome. Sindinglarsenjohansson disease radiology reference. Sindinglarsenjohansson disease is an irritation of the growth plate at the bottom of the knee cap. It is caused by swelling and irritation of the growth plate there. It is a closely related condition to osgoodschlatter disease. Your child is diagnosed with sindinglarsenjohansson syndrome.
Sindinglarsenjohansson disease slj, also known as sinding larsen disease or larsen johansson syndrome, affects the proximal end of the patellar tendon as it inserts into the inferior pole of the patella it represents a chronic traction injury of the immature osteotendinous junction. Complete recovery can be expected with closure of the patella growth plate. Acute presentation of sindinglarsenjohansson disease. Pdf arthroscopic treatment of painful sindinglarsen. Injuries and conditions of the extensor mechanism of the.
From outside the hospital, call the tollfree family interpreting line. Sindinglarsen and johansson syndrome, is an analogous condition involving the patellar tendon and the lower margin of the patella bone, instead of the upper margin of the tibia. Signs of sindiglarsenjohannson include activityrelated knee pain in patients within the typical age group where the bone is growing rapidly adolescence. Robert bernstein md chief of pediatric orthopedics surgery cohen childrens hospital, orthopedic residency massachusetts general hospital, fellowship ped. Sinding larsen johansson slj disease is an overuse injury of the knee commonly seen in growing, active adolescents between the ages of 11 and 15 years. Sindrome sindinglarsen johansson linkedin slideshare. Sindinglarsen johansson disease slj is a possible cause of knee pain in 8 toyearold active individuals. Sinding larsen johansson disease is a self limiting condition that gradually resolves as the patient moves towards skeletal maturity. Osgoodschlatter and sindinglarsenjohansson syndrome are common conditions in. Sindinglarsen johansson disease information page patient.