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Osgood-Schlatter disease

Last updated: June 24, 2021

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Osgood-Schlatter disease is a tibial osteochondritis thought to arise from overuse of the quadriceps muscle during periods of growth. This causes a traction apophysitis at the tibial insertion of the quadriceps tendon. The most common symptom is anterior knee pain that worsens with exercise. A tibial bump may be felt and can often be seen on x-ray. Treatment is usually conservative. Surgical excision is only necessary in severe and treatment-resistant cases.

Epidemiological data refers to the US, unless otherwise specified.

  • Progressive anterior knee pain that is worse with activity and is reproducible with extension against resistance
  • Proximal tibial swelling

  • Mostly conservative (rest, ice, NSAIDs )
  • Strengthening and stretching of the quadriceps muscle
  • Generally resolves once full bone maturity is reached
  • Surgical excision of intratendinous ossicles in severe cases [1]

Localization

Age group Features
Panner disease
  • 5–10 years
Kienbock disease
  • 20–30 years
  • Typically associated with repetitive impact trauma (e.g., volleyball)
  • Manifests with dorsal wrist pain
Legg-Calvé-Perthes disease
  • Femoral head
  • 4–10 years

Subchondral insufficiency fracture (Ahlback disease)

  • 55–70 years
  • Typically affects female patients
Blount disease
  • 1–3 years (infantile)
  • 4–10 years (juvenile)
  • > 10 years (adolescent)
Sinding-Larsen-Johansson disease
  • 10–14 years
  • More common in active children
Sever disease
  • 8–12 years
Kohler disease
  • 5–10 years
Freiberg disease
  • 10–18 years

  1. Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW. Osgood Schlatter syndrome. Curr Opin Pediatr. 2007; 19 (1): p.44-50. doi: 10.1097/MOP.0b013e328013dbea . | Open in Read by QxMD
  2. Blankstein A, Cohen I, Heim M, et al. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease. Arch Orth Traum Surg. 2001; 536–539 (121): p.9. doi: 10.1007/s004020100285 . | Open in Read by QxMD