Osgood-Schlatter’s disease Flashcards
What causes Osgood-Schlatter’s disease
An overuse injury that mostly appears in active, adolescent patients. The repetitive strain and microtrauma results in irritation and in severe cases partial avulsion of the tibial tubercle apophysis
Osgood-Schlatter’s disease AKA
Tibial tubercle apophysitis
What population does Osgood-Schlatter’s disease typically occur in
Typically occurs during an adolescent growth spurt in young athletes who participate in sports that involve repeated knee flexion and forced extension
Is Osgood-Schlatter’s disease more common in males or females
Males
Osgood-Schlatter’s disease is bilateral in ________% of cases
Bilateral in 20-30% of cases
Typical history/presentation of Osgood-Schlatter’s disease
Atraumatic, insidious anterior knee pain, with tenderness at the patellar tendon insertion site at the tibial tuberosity
Exacerbating/relieving factors in Osgood-Schlatter’s disease
Pain worsened by activity (for example, sport)
Pain relieved by rest, ice, and NSAIDs
Examination findings in Osgood-Schlatter’s disease
Pain, swelling, warmth, and localised tenderness to palpation over the tibial tubercle. Prominence of the tibial tubercle.
What investigations are recommended in Osgood-Schlatter’s disease
Clinical diagnosis
When might a knee xray be indicated in Osgood-Schlatter’s disease
Knee xray used to rule out other lesions of the proximal tibia if pain is unilateral and/or severe and persistent.
Management of Osgood-Schlatter’s disease
Conservative treatment is successful in most patients and consists of activity modification, ice, stretching, and strengthening exercises.
Expected prognosis of Osgood-Schlatter’s disease
Typically a self-limiting condition that resolves after a period of activity modification, with ultimate resolution occurring when patients reach skeletal maturity
Explain what Osgood-Schlatter’s disease is in simple language
Swelling and irritation of the growth plate at the top of the shinbone
