Osgood schlatter management

Question 1

In which group of individuals is Osgood-Schlatter Disease most commonly seen?

Answer 1

Osgood-Schlatter Disease is most commonly seen in sporty teenagers.

Question 2

What are some pain relief methods for Osgood-Schlatter Disease?

Answer 2

Pain relief methods for Osgood-Schlatter Disease include analgesia (paracetamol or NSAIDs), intermittent application of ice packs, and the use of protective knee pads.

Question 3

How often should ice packs be applied over the tibial tuberosity for Osgood-Schlatter Disease?

Answer 3

Ice packs should be applied over the tibial tuberosity for 10-15 minutes up to 3 times per day, including after exercise.

Question 4

What reassurance can be given to patients and parents about the resolution of Osgood-Schlatter Disease?

Answer 4

Patients and parents can be reassured that Osgood-Schlatter Disease will resolve over time but may persist until the end of a growth spurt.

Question 5

Is it necessary to stop all sporting activity for Osgood-Schlatter Disease?

Answer 5

Usually, stopping all sporting activity is not necessary for Osgood-Schlatter Disease.

Question 6

What modifications can be made to sporting activities for individuals with Osgood-Schlatter Disease?

Answer 6

Modifications to sporting activities include reducing the intensity, frequency, or duration, and changing the type of exercise to limit running and jumping that require powerful quadriceps contraction.

Question 7

What type of exercises can be introduced as symptoms of Osgood-Schlatter Disease decrease?

Answer 7

As symptoms decrease, low-impact quadriceps exercises such as isometric quadriceps contractions, straight leg raises, cycling, or swimming can be introduced.

Question 8

When should a specialist assessment by an orthopaedic surgeon be considered for Osgood-Schlatter Disease?

Answer 8

A specialist assessment by an orthopaedic surgeon should be considered if symptoms do not improve or worsen, or if symptoms persist into adulthood despite the above management.

Question 9

Where can additional advice and instructions on stretches for Osgood-Schlatter Disease be found?

Answer 9

Additional advice and instructions on stretches for Osgood-Schlatter Disease can be found in the Victorian Paediatric Orthopaedic Network fact sheet.

Question 10

summarise management of osgood schlatter disease

Answer 10

Osgood-Schlatter Disease
 Seen in sporty teenagers (‘osGOOD at sports) Management
 Advise about pain relief
o Analgesia - paracetamol or NSAIDs
o Intermittent application of ice packs over the tibial tuberosity (10-15 mins up to 3 times
per day, including after exercise)
o Protective knee pads (may relieve pain when kneeling)
 Reassure the patient and parents that this will resolve over time but may persist until the end of a growth spurt
 Reassure that usually stopping all sporting activity is not necessary
o Reduce sporting activity (intensity, frequency or duration)
o Change the type of exercise to limit the amount of running and jumping requiring
powerful quadriceps contraction if they cannot tolerate normal activity
o As symptoms decrease, they can gradually increase their exercise levels
o Introduce low-impact quadriceps exercises (e.g. isometric quadriceps contractions,
straight leg raises, cycling or swimming)
 Reassure that usually stopping all sporting activity is not necessary
 If symptoms do not improve or worsen OR symptoms persist into adulthood despite the above
management, refer for specialist assessment by orthopaedic surgeon.
o ADVICE

 Victorian Paediatric Orthopaedic Network fact sheet on Osgood-Schlatter disease has an explanation of the condition as well as instruction on some useful stretches
 Proper stretching before and after exercise may reduce symptoms

Question 11

pathophysiology, epidemoloy, sins and symptoms, investigations and management of osgood schlatter

Answer 11