Updated: 8/23/2020

Osgood-Schlatter Disease

0%
Topic
Review Topic
0
0
N/A
N/A
Questions
2
0
0
Topic
Snapshot
  • A 12-year-old boy presents to his pediatrician with right knee pain. He began playing basketball for his school a few months ago. On physical exam, there is a pronounced, tender tibial tubercle and tenderness to palpation over the affected area. The patient reports pain upon resisted knee extension.
Introduction
  • Clinical definition
    • describes traction apophysitis of the tibial tuberosity
  • Epidemiology
    • demographics
      • male:female ratio
        • more common in males
      • age bracket
        • 12-15 years of age in boys
        • 8-12 years of age in girls
    • risk factors
      • participating in sports
  • Pathogenesis
    • repetitive traction of the apophysis of the tibial tuberosity results in microtrauma and micro-avulsion 
      • the patellar tendon insertion separates from the tibial tubercle
        • during healing there is callous deposition that leads to a pronounced tubercle
  • Prognosis
    • self-limiting
    • responds well to conservative management
Presentation
  • Symptoms
    • anterior knee pain
  • Physical exam
    • inspection
      • enlarged tibial tubercle
      • tenderness over tibial tubercle
    • provocative test
      • pain on resisted knee extension
Imaging
  • Radiographs
    • recommended views
      • lateral radiograph of the knee
    • findings
      • irregularity and fragmentation of the tibial tubercle 
Studies
  • Diagnostic criteria
    • a clinical diagnosis
Differential
  • Sinding-Larsen-Johansson syndrome
    • chronic apophysitis or minor avulsion injury of the inferior patellar pole
  • Osteochondroma of the proximal tibia
  • Tibial tubercle fracture 
  • Patellar tendonitis
Treatment
  • Conservative
    • analgesics, ice, and physical therapy
      • indication
        • first-line treatment for Osgood-Schlatter disease
Complications
  • Tubial tubericle prominence persists
  • Genu recurvatum

Please rate topic.

Average 5.0 of 2 Ratings

Questions (2)
Question locked
Sorry, this question is for
PEAK Premium Subscribers only
Upgrade to PEAK
Question locked
Sorry, this question is for
PEAK Premium Subscribers only
Upgrade to PEAK
EXPERT COMMENTS (9)
Private Note