Anterior knee pain.
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- Tendinosis of the lower part of the patellar tendon with edema of the related Hoffa’s pad of fat and related deep infra-patellar bursitis, as well as osseous edema of the anterior aspect of the proximal tibial epiphysis and tibial tuberosity, suggestive of Osgood-Schlatter disease.
- Mild joint effusion.
- Intact menisci and cruciate ligaments.
Osgood-shlatter disease or tibial osteochondritis is a traction apophysitis of the patellar tendon near its insertion within the tibial tuberosity. Osgood-Shlatter disease is a clinical diagnosis and is the most common cause of anterior knee pain in adolescents. The diagnostic hallmark is distal patellar tendinosis with incresed fluid signal around and deep infra-patellar bursitis as well as osseous edema of the tibial tuberosity.
The case is courtesy of Dr. Basma Saber & Dr. Mohammed ElBeialy.
- 1- Hirano A, Fukubayashi T, Ishii T et-al. Magnetic resonance imaging of Osgood-Schlatter disease: the course of the disease. Skeletal Radiol. 2002;31 (6): 334-42. doi:10.1007/s00256-002-0486-z - Pubmed citation
- 2- Demirag B, Ozturk C, Yazici Z et-al. The pathophysiology of Osgood-Schlatter disease: a magnetic resonance investigation. J Pediatr Orthop B. 2005;13 (6): 379-82. Pubmed citation