{"id":5130,"date":"2025-06-04T11:30:00","date_gmt":"2025-06-04T09:30:00","guid":{"rendered":"https:\/\/www.orthogruber.at\/sinding-larsen-johansson-syndrome-copy\/"},"modified":"2026-07-08T13:14:35","modified_gmt":"2026-07-08T11:14:35","slug":"sinding-larsen-johansson-syndrome-copy","status":"publish","type":"post","link":"https:\/\/www.orthogruber.at\/en\/sinding-larsen-johansson-syndrome-copy\/","title":{"rendered":"Sinding-Larsen-Johansson Syndrome Copy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5130\" class=\"elementor elementor-5130 elementor-4844\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-26ff3e4 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"26ff3e4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aba4769\" data-id=\"aba4769\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e9361cc elementor-widget elementor-widget-heading\" data-id=\"e9361cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Sinding-Larsen-Johansson Syndrome Copy<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0d7ab9d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d7ab9d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dcd87fb\" data-id=\"dcd87fb\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-73ab934 elementor-widget elementor-widget-text-editor\" data-id=\"73ab934\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>SLJ syndrome (distal patellar apophysitis) is a stress injury that occurs primarily in active adolescents, typically between the ages of 10 and 15, during a phase of rapid growth. It involves inflammation of the growth plates (apophyses) at the lower end of the patella, where the patellar tendon attaches. It is caused by repetitive stress and microtrauma at the proximal attachment site of the patellar tendon. The growth plates are cartilaginous areas in long bones from which a child\u2019s bones grow. They are softer and more vulnerable than mature bone tissue.    <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12b6496 elementor-widget elementor-widget-heading\" data-id=\"12b6496\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Symptoms and Diagnosis  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-670ed42 elementor-widget elementor-widget-text-editor\" data-id=\"670ed42\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Our 13-year-old patient presented with pain on exertion and swelling in the area of the right kneecap, as well as limited range of motion when squatting.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3131784 elementor-widget elementor-widget-heading\" data-id=\"3131784\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagnosis and Treatment  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-142bb48 elementor-widget elementor-widget-text-editor\" data-id=\"142bb48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The MRI images revealed thickening of the patellar tendon at its proximal insertion, fluid accumulation behind the kneecap, a signal change in the area of Hoffa\u2019s fat pad, and bone marrow edema at the inferior pole of the patella. <br\/>Treatment for Sinding-Larsen-Johansson syndrome typically includes:<br\/>&#8211; Rest and avoidance of activities that worsen symptoms to relieve pressure on the growth plates and allow the inflammation to subside. <br\/>&#8211; Physical therapy to strengthen the muscles around the knee and improve flexibility.<br\/>&#8211; In severe cases, a brace or bandage may be recommended to stabilize the knee.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a4fab4 elementor-widget elementor-widget-heading\" data-id=\"7a4fab4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Differential Diagnosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d56739 elementor-widget elementor-widget-text-editor\" data-id=\"8d56739\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In addition to SLJ syndrome, a \u201cpatella sleeve fracture\u201d should also be considered in the differential diagnosis of this case. This is an acute chondral or osteochondral avulsion injury that also occurs almost exclusively in children and adolescents. An abrupt tensile force causes a tear of a bony and predominantly cartilaginous portion at the lower pole of the patella.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3fb19c1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3fb19c1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-narrow\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-8cc5dab\" data-id=\"8cc5dab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7f67ac6 elementor-widget elementor-widget-image\" data-id=\"7f67ac6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1021\" height=\"1024\" src=\"https:\/\/www.orthogruber.at\/wp-content\/uploads\/2025\/05\/SLJ-Syndrom_02-1021x1024.jpg\" class=\"attachment-large size-large wp-image-4840\" alt=\"\" srcset=\"https:\/\/www.orthogruber.at\/wp-content\/uploads\/2025\/05\/SLJ-Syndrom_02-1021x1024.jpg 1021w, https:\/\/www.orthogruber.at\/wp-content\/uploads\/2025\/05\/SLJ-Syndrom_02-300x300.jpg 300w, https:\/\/www.orthogruber.at\/wp-content\/uploads\/2025\/05\/SLJ-Syndrom_02-150x150.jpg 150w, https:\/\/www.orthogruber.at\/wp-content\/uploads\/2025\/05\/SLJ-Syndrom_02-768x770.jpg 768w, https:\/\/www.orthogruber.at\/wp-content\/uploads\/2025\/05\/SLJ-Syndrom_02.jpg 1173w\" sizes=\"(max-width: 1021px) 100vw, 1021px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>SLJ syndrome (distal patellar apophysitis) is a stress injury that occurs primarily in active adolescents, typically between the ages of 10 and 15, during a phase of rapid growth. It involves inflammation of the growth plates (apophyses) at the lower end of the patella, where the patellar tendon attaches. It is caused by repetitive stress&hellip;&nbsp;<a href=\"https:\/\/www.orthogruber.at\/en\/sinding-larsen-johansson-syndrome-copy\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Sinding-Larsen-Johansson Syndrome Copy<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":4828,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":""},"categories":[38],"tags":[],"class_list":["post-5130","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-case-of-the-week-en"],"yoast_head":"<!-- This site is optimized with the 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