Presentation
Pain over the tibial tuberosity post injury.
Patient Data
Fragmentation of tibial tuberosity apophysis with overlying subtle soft tissue swelling.
Soft tissue haziness is noted in the inferior most part of the fat pad, obliterating the shadow of the inferior most part of patellar ligament.
Case Discussion
Osgood-Schlatter disease (OSD), consists of the onset of traction apophysitis due to repeated contractions of the femoral rectus part of the quadriceps and may be bilateral. It is one of the most common overuse injuries of the lower limb among children and adolescents and is usually a self-limiting pathology.
Its manifestation coincides with the development of the secondary ossification centre of the anterior tibial tuberosity, which usually occurs at around age 9 in girls and 11 in boys. However, symptoms usually first appear between ages 8 and 12 in the former, and between 12 and 15 in the latter. Despite this, cases in adults have been reported.
In addition, nearly 40% of patients reported pain after long-term follow-up, which may lead to chronification of knee pain and the appearance of tendinosis, which, in turn, may necessitate the application of surgical techniques.