synonyms: Juvenille osteochondrosis tibia, Osgood disease, Osgood Schlatter disease
- 732.4 (juvenile osteochondrosis of the lower extemity, excluding foot)
Osgood-Schlatter Etiology / Epidemiology / Natural History
- Osteochondrosis of the proximal tibial apophysis associated with rapid growth of adolescence. Traction apophysitis.
- boys>females. Average age boys=12+9, Girls=10+8
- Associated with running, jumping sports
- 40% bilateral
Osgood-Schlatter Clinical Evaluation
- Pain and swelling localized to tibial tubercle.
- Pain exacerbated by with knee extension against resistance and with palpation.
- Tibial tubercle is often prominent.
Osgood-Schlatter Xray / Diagnositc Tests
Osgood-Schlatter Classification / Treatment
- Activity modification for 6 wks, ice, stretching, NSAIDs, patellar tendon stap or protective brace over tibial tubercle may minimize symptoms. Resume activities once symptoms abate.
Osgood-Schlatter Associated Injuries / Differential Diagnosis
- Continued pain into adulthood.
Osgood-Schlatter Follow-up Care
- Symptoms last 12-24 months in 95% of pts. 32% develop ossicle. 60% are unable kneel without pain long-term. 24% of some activity limitation long-term.
- May develop separate ossicle which can be painful as an adult.
Osgood-Schlatter Review References