Osgood-Schlatter disease

Case contributed by Dr Amro Omar

Presentation

Visible & painful bump at the anterior tibial metaphysis

Patient Data

Age: 15
Gender: Male
Modality: MRI

Sagittal, axial, and coronal T2WI FS MR images show marrow oedema in the anterior aspect of the proximal tibial epiphysis. The marrow oedema extends down into the tibial tubercle. There is fluid interposed between the proximal tibia and the distal patellar tendon, denoting deep infrapatellar bursitis. Mild soft tissue swelling is seen anterior to the distal patellar tendon.

Case Discussion

Osgood-Schlatter disease results from repetitive microtrauma to the tibial tubercle during skeletal maturation.

DIFFERENTIAL DIAGNOSIS:

  1. Normal variant irregular and multiple ossification centres
    • no associated soft tissue swelling
    • no clinical pain at site
  2. Patellar tendinosis
    • ​thickened inferior patellar tendon
    • MR shows hyperintensity within tendon and adjacent bone on fluid-sensitive sequences
    • generally located at the proximal rather than the distal inferior patellar tendon, as opposed to Osgood-Schlatter disease.
PlayAdd to Share

Case Information

rID: 33866
Case created: 27th Jan 2015
Last edited: 22nd Nov 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.