It is an important period of recovery after the senior high school entrance examination. You have been suffering from osteochondritis of tibial tubercle for more than a year. After the senior high school entrance examination, you must completely ban any exercise for two to six months. Under normal circumstances, you can still heal yourself, and then you can exercise again. Otherwise, the pain will not disappear until after puberty, and it is likely that the pain will last until adulthood due to serious injuries, fractures and other reasons.
Finally, retell the problem of osteochondritis of tibial tubercle, through which you can understand that it is difficult to recover during exercise:
Osteochondritis of tibial tubercle mainly occurs in boys aged 1 1 ~ 15, and it is more common in boys. Most of them have local discomfort after taking part in strenuous exercise or long-term excessive knee joint exercise. There are two main clinical manifestations: 1. The pain is mainly in the tibial tubercle, and sometimes it can be manifested as knee pain and gait pain. Accompanied by mild swelling and obvious tenderness, it appears when taking part in strenuous exercise, relieves immediately after rest or local stop, and worsens after re-exercise. 2. The swelling is mainly at the tibial tubercle. In some mild cases, local swelling may not be obvious. However, in typical patients with tibial tuberosity chondrositis, due to the alternating process of local necrosis, new bone formation and heterotopic ossification, the swelling of tibial tuberosity is obvious, and the soft tissue also shows edema-like changes due to aseptic inflammation. There is no swelling and tenderness in the knee joint, but pulling the quadriceps femoris can cause local pain.
This problem is mainly the process of aseptic inflammation, osteonecrosis and new bone formation of tibial tubercle. The tendon fibers at the end of normal quadriceps femoris pass through the patella and continue to be patellar tendon, ending at tibial tubercle, and the attachment connection mode is calcified cartilage layer-fibrocartilage zone-tendon fiber connection. The normal epiphysis of tibial tubercle is tongue-shaped epiphysis, which belongs to distraction epiphysis. Generally, the ossification center of tibial eminence appears around 1 1 year. By the age of 16, the proximal tibial epiphysis combined with the ossification center of tibial carina to form tibial tubercle. Due to strenuous exercise or excessive exercise of the knee joint for a long time, the blood supply of the epiphysis at the attachment point of quadriceps femoris, that is, the tibial tubercle, is affected, which shows that the blood supply of the epiphysis is blocked locally, affecting the normal growth of the epiphysis, and the attachment point continues to receive external traction stimulation, resulting in partial avulsion. However, due to the differentiation of fibroblasts and the activity of osteoblasts, the patellar ligament and its nearby soft tissues have new osteogenesis, leading to ectopic ossification. It is manifested as local epiphyseal necrosis, new bone formation, local bone hyperplasia, tibial tubercle enlargement and forward protrusion. At the same time, some epiphyses are displaced due to continuous traction, which further leads to deformity.
Of course, the description is scary, but this problem is quite common among teenagers. The key to solve this problem is to restrain exercise, which many children can't do, resulting in the disappearance of pain after puberty and the serious protrusion of the anterior tibial tubercle, which is very unsightly; And severe pain will still exist in adulthood. Therefore, you must insist on not exercising for at least two months after the senior high school entrance examination (a week's rest may stop the pain, but strenuous exercise again is likely to continue to hurt and start the pain again).