Osgood - Schlatter Disease

Question 1

What is Osgood-Schlatter Disease?

Answer 1

(Usually Unilateral) Inflammation at the tibial tuberosity (patella ligament insertion point) - tibial apophysitis.

Question 2

Epidemiology of Osgood-Schlatter Disease.

Answer 2

Age : 10-15 and Males.

Question 3

Pathophysiology of Osgood-Schlatter Disease (3).

Answer 3

1. Traction Apophysitis - Multiple minor avulsion fractures occur where the patella ligament pulls away tiny pieces of the bone.
2. Growth of Tibial Tuberosity - Osteochondrosis caused by inflammation.

Question 4

Clinical Presentation of Osgood-Schlatter Disease (3).

Answer 4

Gradual Onset :

1. Visible/Palpable Hard and Tender Lump at Tibial Tuberosity.
2. Pain in Anterior Knee.
3. Exacerbated by Physical Activity, Kneeling/Extending Knee.

Question 5

Management of Osgood-Schlatter Disease (2).

Answer 5

1. Initial - Reduce Pain and Inflammation : Rest, Ice, NSAIDs.
2. Stretching + Physiotherapy to strengthen joint and improve function.

Question 6

Prognosis of Osgood-Schlatter Disease (2).

Answer 6

1. Symptoms resolve fully over time but bony lump remains.
2. Rare Complication : Complete Avulsion Fracture (Tibial Tuberosity separated from rest of Tibia) = Surgical Intervention.