What Is the Tuberosity of the Tibia?
Tibial tuberculosis and epiphysitis, also known as tibial tuberculosis and osteochondrosis, tibial tuberculosis and osteochondrosis, aseptic necrosis of tibial tuberculosis and osteochondrosis. Judging from the nomenclature of multiple etiology, there is no uniform understanding of the pathogenesis and pathological essence. Foreign literature often refers to Osgood-Schlatter disease, which was reported by Osgood and Schlatter in the same period in 1903.
- nickname
- Tibial tuberculosis osteochondrosis, tibial tuberculosis osteochondritis, tibial tuberculosis epiphyseal aseptic necrosis
- English name
- epiphysitis of tubercle of tibia
- Visiting department
- orthopedics
- Multiple groups
- 11 to 15 year old boys
- Common locations
- Tibial tubercle callus
- Common causes
- Acute or recurrent chronic injury
- Common symptoms
- Pain in tibia nodules, which became worse after movement. Local swelling, tenderness, and even redness. Active knee extension, passive knee flexion or aggravation when squatting up
Basic Information
Causes of tibial tuberculosis and epiphysitis
- It is generally believed that the tibial tuberculosis epiphysis is the result of acute or repeated chronic injury under the pull of the patellar tendon. The epiphysis is the center of skeletal development during growth, while the tibial tuberosity epiphysis is located proximal to the tibia, anteriorly, with the attachment point of the quadriceps plantar tendon.
- Almost all of the epiphysitis of the epiphysis in the body occurs in the developmental stage. The abnormal development of the epiphysis should be the basis of the pathogenesis of epiphysitis and osteochondrosis.
Clinical manifestations of tibial tuberculosis and epiphysitis
- Occurs during puberty. Boys between 11 and 15 years of age tend to develop faster. Those who like sports may have a history of strenuous exercise or trauma. Pain in tibia nodules, which became worse after movement. The tibial tubercle may be locally swollen, tender, or even hot. Active knee extension, passive knee flexion, or aggravation when squatting are caused by the patellar tendon pulling the epiphysis.
Tibial tuberculosis epiphysitis examination
- X-ray manifestations: swollen soft tissues, thickened patellar tendons, and raised epiphyseal ridges of the tibial tubercle at the tangent position. The ossification may be uneven, and there may be raised bone pieces or free bone pieces. Free bone pieces do not heal for a long time, but the symptoms are completely eliminate. MRI can show patellar tendinitis or see the patellar bursa.
Differential diagnosis of tibial tuberculosis and epiphysitis
- The diagnosis is not difficult, but it should be distinguished from osteosarcoma. Osteosarcoma is a primary malignant bone tumor, and the proximal end of the tibia is also a common site. Adolescence is also a common stage.
Tibial tuberculosis epiphysitis treatment
- The disease is self-limiting, that is, it heals on its own without medical treatment. It only asks patients to pay attention to rest, limit knee joint movements, avoid running, jumping, jumping, and long-term walking. Seizures can be externally fixed with plaster. Locally closed treatment with glucocorticoids, although it can quickly relieve pain, can cause tissue degeneration and necrosis, and spontaneous rupture of the patellar tendon. It is not recommended.