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Author Topic: OSD and long-term effects (knee guru?)  (Read 1813 times)

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Offline windbarb

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OSD and long-term effects (knee guru?)
« on: January 31, 2003, 04:38:36 PM »
With my recent round of knee problems, I've been talking with my mom about the problems I had when I was young (it's hard for me to remember or know everything the doc said, since I was fairly young at the time).

I was diagnosed with severe Osgood-Schlatters Disease (OSD) in the LK when I was age 11 (almost 15 years ago).  I followed all the doc's rules--ice, rest,  immobilized, no weight-bearing, casting--but the OSD was so severe at the time that I physically couldn't straighten my leg for a long time, and the leg wouldn't support my weight (it began giving way before the leg had time to atrophy, even).  With all the time off my leg (I counted 1 year's worth of time on crutches out of 3 years), my quad was also severely atrophied.  I had surgery at age 13 to check for damage and flush out debris and was told that they didn't find any damage to repair.  They said that my continued pain was from maltracking due to the atrophy, and I went to PT.  With PT, the worst of the pain improved.

Despite years of sports, exercise, and such, the quad remained a centimeter smaller in diameter until my latest injury (in fact, the whole leg is smaller... quad, calf, and even ever-so-slightly length).   I've always had recurring pain... sometimes around the tibial tuberosity, sometimes around the kneecap or in the joint (especially lateral side, where the pain started this time).  The knee locks up when I sit too long (like at a movie), "tweaks" occasionally (pulled or popped with a pain/burning sensation that went away quickly), and swells and gets painful when I hit it too hard... again, from after the surgery until the time of this problem.

I know that I'll always have a lump from the OSD, but I'm wondering if such a severe case did other damage that isn't being caught.  My current OS is pretty clueless... he just touched the TT and when I didn't scream in pain, said that my current problems aren't related to the prior OSD.  Most things on the 'net that I've seen don't address a case this severe... they just mention the lump as a cosmetic long-term effect, and occasional soreness at the TT.

I haven't seen much about OSD posted here, but if anyone (especially KneeGuru) can chime in, I'd greatly appreciate it.  Does anyone know of a link between severe OSD and long-term mechanical problems or damage?  I had a very good OS at the time, but is it possible that the OSD masked a problem that has come back to haunt me now?

Thanks a bunch! (and sorry this is so long!)

1988-91: LK severe OSD, RK mild OSD
01/91: LK scope-flush. lingering pain
12/02: LK cortisone injection
3/03: LK scope-plica excision, partial synovectomy
11/04: L big toe cartilage/bone repair (fell)
now: L middle toe (broke; lingering pain), RK pain/swelling, neck pain/swelling

Offline Shazinoz

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Re: OSD and long-term effects (knee guru?)
« Reply #1 on: February 01, 2003, 10:35:01 AM »
I am sorry to hear that you ar having such a bad time with your knee. I have heard of OSD but never suffered from it. Maybe it would be worthwhile you seeing someone else to find out if yur current knee problems are related to you OSD and the severity you had as a child or maybe it is a new Injury. I know it is hard when doctors just assume that it is related to the OSD or assume it isn't related (I have this problems with the disorders I have been suffereing from since childhood and another condition I suffer from too). Maybe you could try to find a knee OS in your area that specialises in OSD and can work out if your new knee pain etc is related to your OSD or something else entirely.
Good Luck and Here is hoping that you find an answer.
2 ACL 'reco's', 3 'scopes', Pain, JRA, EDS, RSD, CMP, osetochondral defect & #, synovitis, adhesions, nerve damage, foot drop, MCL damage, tendonitis, fibrosis, ligament damage AGAIN, dislocations +++