Sinding-Larsen-Johansson disease

Case contributed by Javier Fager
Diagnosis certain

Presentation

Knee pain. No history of trauma.

Patient Data

Age: 8 years
Gender: Male
x-ray

Irregular calcifications of the proximal insertion of the patellar tendon in keeping with Sinding-Larsen-Johansson disease.

Case Discussion

It is an osteochondrosis caused by chronic avulsion injury common between the ages of 10-12 years.

Patellar tendon repetitive traction  can cause calcification or irregular ossification of the lower pole of the patella, causing pain. It is typically associated with activities like running, hiking, climbing stairs or kneeling.

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