Apophyses Injuries And Osgood Schlatters Disease
In a growing adolescent the area of rapid bone expansion occurs at the epiphyses - near the ends of the long bones such as the tibia in the lower leg
. In fact it has been estimated that up to thirty percent of their eventual height growth will occur at just one of these sites which is immense.Whilst these areas are expanding and growing there is a change of tissue type as softer cartilage is replaced by bone. In a quirk of nature it is often the most powerful muscles that attach right on top these sites, thus you have a 'perfect storm scenario of very strong muscle-tendon units pulling on soft cartilage-bone.
If you add really active sport children into the mix you have the potential for trouble. They can be very disabling and severe in pain with children often having problems with everyday activities such as climbing stairs or even walking. Playing sport therefore becomes almost impossible.
There are a number of apophysitis injuries that occur. The most common is just below the knee called Osgood-Schlatters disease. Here is the attachment of the quadriceps muscle via the patella tendon. This affects youngsters between the ages of 9-14, girls earlier than boys due to their earlier development.
It represents about 20 percent of any overuse injuries that occur to this age group and is most prevalent in the kicking, jumping and sprinting sports such as football, basketball and gymnastics. It can be debilitating as sufferers are usually told to rest and wait until they grow out of it.
As this usually takes 18-24 months this can be a devastating blow to a young athlete - especially if they are talented and have been ear-marked for intensive development and training. Unfortunately for many of these athletes this diagnosis leads them to being dropped from their squads and can spell the end of their potential sporting careers, as by the time they recover their place has been given to someone else and the opportunity has gone.
Another common apophysitis syndrome is Sever's disease which occurs at the heel bone (calcaneus). Here the Achilles tendon attachment is the site of the condition with children complaining of moderate to severe pain during and after sport. Not surprisingly the sports involving jumping are the main culprits so we see young basketballers, netballers and gymnasts as the main patients.
Severs disease tends to occur earlier in age than Osgood Schlatters disease with youngsters from 8-12 being mainly affected. Again these children are given conservative advice to rest and grow out of it, which whilst not incorrect, is not the quickest treatment and again can take months or even years to resolve.
A new approach to both these conditions has been discovered and evaluated scientifically.
The Strickland Protocol has documented an average of less than 3 weeks return to sport once instigated, in over 45 patients suffering from these conditions. Anecdotal evidence from international sources has now registered success in over 350 Osgood Schlatters patients alone.
The clinical trial document is held on Wikipedia under the Osgood Schlatter Disease article.
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