Osgood-Schlatter disease

Background

• Apophysitis of tibial tubercle resulting from repeated normal stresses or overuse
• Pts are usually 10-15yr old
• More commonly occurs in running or jumping athletes
• Most cases are bilateral
  • Although symptoms are commonly asymmetric

Diagnosis

• Chronic, intermittent pain over the anterior aspect of knee and tibial tuberosity
• Pain aggravated by activity, improves w/ rest
• Prominence and soft tissue swelling over tibial tubercle
• Imaging is not necessary
  • If obtained shows nonspecific irregularities of tibial tubercle

Treatment

• Disease is self-limited
  • Most pts' symptoms respond to rest and temporary avoidance of offending activity
  • Complete avoidance of activity is not essential
• Immobilization is contraindicated
• NSAIDs
• Apply ice after activity

Disposition

Discharge

See Also

Knee (Minor)

Source

Tintinalli