Presentation
One month of left medial leg pain. No previous history of trauma or surgery.
Patient Data
Age: 16 years
Gender: Male
From the case:
Osgood–Schlatter disease and tibial stress fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/69520/annotated_viewer_json?iframe=true\u0026lang=us"}
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.
From the case:
Osgood–Schlatter disease and tibial stress fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/69524/annotated_viewer_json?iframe=true\u0026lang=us"}
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.