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Sinding-Larsen-Johansson Syndrome, Sports Medicine

Ian D. McKeag, MD, MS, Christopher P. Lake, MD and Timothy Ryan Draper, DO, ABFM, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Sinding-Larsen-Johansson Syndrome (SLJ) is a condition considered to be a chronic overuse injury caused by excessive and repetitive traction applied to the patella by the patellar te...

DIAGNOSIS

HISTORY

  • Gradual and progressive pain at the inferior pole of the patella

  • Pain exacerbated with kneeling and exercise, especially with jumping activities

PHYSICAL EXAM

  • Tenderness to palpation at ...

TREATMENT

GENERAL MEASURES

  • Nearly all cases can be treated nonoperatively with conservative management and rest.

  • Avoidance of aggravating activities, such as running, kneeling, squatting, jumping, and s...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Continue with core strengthening exercises.

  • Proper quadriceps and hamstring stretching and warm up prior to activity or competition

Patient Monitoring

Monitor for an...

REFERENCES

1
Hall R, Barber Foss K, Hewett TE, et al. Sports specialization’s association with an increased risk of developing anterior knee pain in adolescent female athletes. J Sport Rehabil.  2...

ADDITIONAL READING

  • Draghi F, Danesino GM, Coscia D, et al. Overload syndromes of the knee in adolescents: sonographic findings. J Ultrasound.  2008;11(4):151–157.

  • Duri ZA, Patel DV, Aichroth PM. T...

CLINICAL PEARLS

  • Common cause of anterior knee pain without effusion in children/adolescents

  • Diagnosis is typically made clinically, and imaging is not always necessary.

  • Conservative measures, including ...

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