Osgood-Schlatter disease (chronic)

Case contributed by Dr Amir Mahmud

Presentation

Chronic pain over the anterior knee, with on and off swelling. Previously very athletic.

Patient Data

Age: 20 years old
Gender: Male
X-ray

The lateral image is slightly overexposed making it difficult to assess the anterior soft tissue planes clearly, however obviously apparent are multiple, well corticated, smooth bone fragments of varying sizes at the tibial tuberosity.

Sharp patellar tendon margins are also not visible at this level.

Case Discussion

In Osgood-Schlatter disease, a patient may present after several years of recurrent symptoms of anterior knee pain and swelling. Commonly for this condition, there is also a history of a very athletic/ active adolescence. 

If not managed early, the condition can progress to several sequelae including formation of ossicles within the distal patella tendon, pseudoarthrosis between a patella tendon ossicle, and the tibial tuberosity as well as pseudo-intra-articular loose bodies.  

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Case information

rID: 79554
Published: 29th Jun 2020
Last edited: 1st Jul 2020
Inclusion in quiz mode: Included
Institution: Private diagnostic centre

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