DESCRIPTION
SIGNS & SYMPTOMS
DIAGNOSTIC TESTS
PT IMPLICATIONS
Treatment:
(click here to see references)
- Sindig Larsen Johansson syndrome is a condition that involves the inflammation of the patellar tendon and lower margin of the patella. Sindig Larson Johansson syndrome is more prevalent between the ages of 12 - 15. This syndrome can present very similar to Osgood Schlatters.
SIGNS & SYMPTOMS
- Pain with knee activities; including cycling.
- Pain with resisted knee extension
DIAGNOSTIC TESTS
- Palpation to inferior patella and patellar tendon
- The exact anatomical location of pain and inflammation can be used to differential diagnosis between Sindig Larson Johansson Syndrome and Osgood schlatters. For Sindig Larson Johansson Syndrome, the patient will report pain at the inferior margin of the patella and patellar tendon and will present with swelling in the the inferior margin of the patellar and/or the patellar tendon. For Osgood Schlatters, the patient will report pain primarily at the tibial tuberosity and will present with
- Resisted knee extension
- Imaging - usually conducted to exclude fracture or bony tumors.
- Musculoskeletal ultrasound can be utilized to evaluate soft tissue, tendons and non-calcified cartilage
- Swelling more localized to the inferior patellar and patellar tendon
PT IMPLICATIONS
Treatment:
- Strengthen Lower extremity musculature with the emphasis of eccentric strengthening
- Lengthen shorten muscles
- Patient education: Teach the patient how to land softly. Look at functional movements like step down and
- orientation of their knee.
(click here to see references)