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Osgood-Schlatter disease

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Persistent pain of the right knee tibial apophysis.

Patient Data

Age: 12 years
Gender: Male
x-ray

Notable soft tissue swelling with fragmentation of the tibial apophysis apparent.

mri

Growth nucleus of the tibial apophysis appears fragmented and edematous.
Thickening of the distal portion of the patellar tendon and Hoffa’s adipose body.
Marked fluid distension of the deep infrapatellar bursa.

Case Discussion

Osgood-Schlatter disease is an osteochondrosis of the anterior tibial apophysis. It occurs most commonly in pre-adolescent males between 11 and 15 years of age.

It is mostly found in children who play sports in which repeated quadriceps muscle use is required to jump, run and change direction, e.g. athletics, basketball, soccer, dance, skating.

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