Presentation
Anterior knee pain.
Patient Data
Age: 14 years
Gender: Male
From the case:
Osgood-Schlatter disease
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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.
Case Discussion
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.
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