View source for Osgood-Schlatter disease

==Background==
[[File:Knee diagram2.png|thumb|Anatomy of anterolateral aspect of right knee.]]
*Apophysitis of tibial tubercle resulting from repeated normal stresses or overuse
*Patients are usually 10-15yr old
*More commonly occurs in running or jumping athletes

==Clinical Features==
[[File:Gray1240.png|thumb|Showing tibial tubersoity.]]
*Most cases are bilateral
**Although symptoms are commonly asymmetric
*Chronic, intermittent pain over the anterior aspect of knee and tibial tuberosity
*Pain aggravated by activity, improves with rest
*Prominence and soft tissue swelling over tibial tubercle

==Differential Diagnosis==
{{Knee DDX}}

==Evaluation==
[[File:osgood-schlatter-xray.png|thumb|Lateral view X-ray of the knee tibial with overlying soft tissue swelling.]]
*Imaging is not typically necessary
**If obtained shows nonspecific irregularities of tibial tubercle
*Indications for knee xrays (to evaluate for avulsion fracture of the tibial epiphysis)
**Swelling
**Inability to actively extent the knee
** decreased strength with knee extension, or inability to walk

==Management==
*Disease is self-limited
**Most patients' 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
*Wearing a brace that surrounds and protects the tender tibial tubercle

==Disposition==
*Discharge

==See Also==
*[[Knee diagnoses]]

==References==
<references/>
Osgood-schlatter disease: practical treatment for a self-limiting condition.<ref>[https://pubmed.ncbi.nlm.nih.gov/20086789/],.</ref>

[[Category:Pediatrics]]
[[Category:Orthopedics]]
[[Category:Sports Medicine]]