Osgood-Schlatter disease

Case contributed by Adam Eid Ramsey, MD , 6 Sep 2019
Diagnosis certain
Changed by Adam Eid Ramsey, MD, 19 Oct 2020

Updates to Case Attributes

Body was changed:

This patient has Osgood-Schlatter disease is, a common cause of knee pain in growing adolescentsactive children with immature skeletons. It occurs as a result of abnormal development, injury, or overuse of the growth plate and the surrounding ossification centers. Osteochondrosis is a more general term for this condition, which can occur at growth plates around other joints, including the hip, foot, elbow, and back. In Osgood-Schlatter disease repetitive traction of the patellar tendon on the tibial tubercle ossification center leads to inflammation and pain. Imaging is not required to make the diagnosis when patients present with typical symptoms and physical examination findings. Radiographs may be obtained if there is uncertainty about the diagnosis. Radiographic findings in Osgood-Schlatter disease include soft-tissue swelling and fragmentation of the tibial tubercle.

This condition is self-limited and treatment consists of activity modification and the use of acetaminophen or NSAIDs. An orthopedic referral is indicated if symptoms persist in a patient with a mature skeleton.

  • -<p><a href="/articles/osgood-schlatter-disease">Osgood-Schlatter disease</a> is a common cause of knee pain in growing adolescents. </p>
  • +<p>This patient has <a title="Osgood-Schlatter disease" href="/articles/osgood-schlatter-disease">Osgood-Schlatter disease</a>, a common cause of knee pain in active children with immature skeletons. It occurs as a result of abnormal development, injury, or overuse of the growth plate and the surrounding ossification centers. <a title="Osteochondrosis" href="/articles/osteochondrosis">Osteochondrosis</a> is a more general term for this condition, which can occur at growth plates around other joints, including the hip, foot, elbow, and back. In <a title="Osgood-Schlatter disease" href="/articles/osgood-schlatter-disease">Osgood-Schlatter disease</a> repetitive traction of the patellar tendon on the tibial tubercle ossification center leads to inflammation and pain. Imaging is not required to make the diagnosis when patients present with typical symptoms and physical examination findings. Radiographs may be obtained if there is uncertainty about the diagnosis. Radiographic findings in Osgood-Schlatter disease include soft-tissue swelling and fragmentation of the tibial tubercle.</p><p>This condition is self-limited and treatment consists of activity modification and the use of acetaminophen or NSAIDs. An orthopedic referral is indicated if symptoms persist in a patient with a mature skeleton.</p>

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