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Knee pain

Knee pain arises from a problem in the hip until proven otherwise. Hip problems are more common and usually more important.

Children Knee pain specialist

Knee Injuries

The knee cartilage and ligament problems that adults have are rare in children except older teenagers, but these are the problems that parents will often be concerned about. The common injuries in children are patello-femoral and physeal (type I and II distal femoral; ligament avulsions of the upper tibia). Articular damage, such as osteochondral fractures, can occur during a patello-femoral injury.

Patello-femoral pain

Anterior knee pain in the absence of injury is common amongst teenagers, especially girls, and is usually self-limiting. Physiotherapy usually helps a great deal. Sometimes a congenital dysplasia of the patello-femoral joint causes instability and pain, but again this usually responds to physiotherapy even if a dislocation has occurred. Dislocations in childhood are usually due to a congenital dysplasia of this sort and do require surgery if recurrent; surgery is best left until skeletal maturity if possible.

Osgood-Schlatter’s Disease

Boys are more often affected by Osgood-Schlatter’s Disease. This is a sport or dance related inflammation of the tibial tuberosity and can be quite troublesome. Most affected children will choose to carry on with the provocative sport in spite of symptoms; the pain and swelling are usually at their worst after the game – the so-called hangover pain. The child points exactly to the swollen tibial tuberosity and the exquisite tenderness here is the only sign on examination. Hip and knee examination is otherwise normal. Symptomatic treatment is all that is required. There are several other similar conditions, affecting for example the heel or the in-step of the foot, or the pelvis just above the hip joint.

Saturday Morning
Clinics Available

Make An Enquiry

By Post

PO Box 71288
London
SW11 9HR

By Phone

020 7801 0435

practice Locations

The Portland
Hospital

205-209 Great Portland Street

London

W1W 5AH

Great Ormond Street
Hospital

Great Ormond Street

London

WC1N 3JH

Westminster Bridge
Consulting Rooms

Westminster Bridge Rd

London

SE1 7EH

The Cromwell
Hospital

164-178 Cromwell Rd

London

SW5 0TU

SATURDAY MORNING CLINICS AVAILABLE

Call Us: 020 7801 0435