Osgood-Schlatter disease

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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

Source

Tintinalli

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