Osgood Schlatter disease
Consider
- Other DDx
- Hx trauma
- Constitutional symptoms
- T 0, ↓wt, malaise, arthralgia
- Night pain, rest pain
- Beware HIP exam
- Common cause knee pain
- Painful overuse of the tibial tuberosity
- Gradual onset
- Max after sport, especially jumping (basketball)
- Early Teens (growth spurts), M>>F
- 30% bilateral
- Repeated pull off (quads ligament) microfractures at epiphyseal plate
Examination
- Tibial tuberosity prominnce +/- tenderness
- Pain triggered by resisted knee extension
Management
- Conservative
- Reduce (usually no need to avoid completely) triggering activity but maintain activity (change sport etc)
- 90% will have symptom resolution by end of teens growth spurt
- ROUGH etsimates e.g. compare with mean parental height, siblings height, menarche
- Local ice therapy or NSAIDs PRN
- Later physiotherapy to stretch hamstrings and iliotibial band
- No steroids
Links
For patients
Patient UK information leaflet.
East Kent Hospitals University NHS Foundation Trust, quadriceps and hamstring stretches.
For medics
Gholve PA, Scher DM, Khakharia S, Widmann RF, et al. Osgood Schlatter syndrome. Curr Opin Pediatr 2007;19:44-50
NHS Clinical Knowledge Summaries. Osgood Schlatter’s disease.
