Presentation
One month of left medial leg pain. No previous history of trauma or surgery.
Patient Data
Fragmentation of the left tibial tuberosity associated with mild soft tissue swelling.
A horizontal fracture line is seen in the proximal tibial metaphyses associated with subtle periosteal reaction, most consistent with a stress fracture.
CT confirms plain film findings of:
- fragmentation of the left tibial tuberosity associated with mild soft tissue swelling
- horizontal (stress) fracture line in the proximal tibial metaphyses associated with periosteal reaction
Case Discussion
The patient gave history of playing football and usually works in a restaurant.
On examination the patient demonstrated localized tenderness and swelling over the left tibial tuberosity, classic clinical findings for Osgood-Schlatter disease. The condition commonly affects growing adolescents and is seen most frequently in boys from age 10-15 1.