osgood–schlatter disease

Osgood–Schlatter Disease

Abdullatiff Sami Al-RashedBlock 3.1KFU, Al-Ahsa, Saudi Arabia

The Case

• A 13-year-old footballer has pain in both knees. A hard, bony

protuberance can be felt at the level of the tuberositas tibiae in both legs.

His parents are concerned

Case Questions

1. What is the tuberositas? What is its function?

2. What is the probable cause of the patient’s

complaints? Could there be a malignancy?

3. What diagnostics will you use?

4. What treatment is indicated: operative,

conservative or observation ?

1/ What is the tuberositas? What is its

function?

• Tuberosity is an elevations on bones to which muscles are attached.

• It gives attachments to the muscles and ligaments.

2/ What is the probable cause of the

patient’s complaints? Could there

be a malignancy?

•According to the case, the most probable cause of the patient’s complaints is:

OSGOOD–SCHLATTER DISEASE

Osgood–Schlatter Disease

• Osgood–Schlatter Disease is an inflammation of the patellar ligament at the tibial tuberosity.

• It is characterized by pain and swelling at the tibial tubercle

Osgood–Schlatter Disease

• It is a very common in children aged 10-15 years.

• The disease results from repetitive quadriceps contraction through the patellar tendon at its insertion upon the skeletally immature tibial tubercle.

Risk Factors

Symptoms

3/ What diagnostics will you use?

• Osgood-Schlatter disease can be diagnosed clinically based on the typical symptoms and physical examination findings.

• Imaging is not necessary to obtain in patients with clinical findings characteristic of Osgood-Schlatter disease.

• Plain radiographs are obtained to exclude other conditions (eg, tibial apophyseal fracture, tumors, osteomyelitis) in patients who have atypical features.

3/ What diagnostics will you use?

4/What treatment is indicated: operative, conservative or observation ?

• Treatment is conservative with RICE (Rest, Ice, Compression, and Elevation)

• Analgesics and NSAIDs may be given for pain relief and reduction of local inflammation.

4/What treatment is indicated: operative, conservative or observation ?

Summary

• Osgood–Schlatter Disease is an inflammation of the patellar ligament at the tibial tuberosity.

• It is a very common in children aged 10-15 years.

• The most common presenting complaint is anterior knee pain with Swelling.

• Pain is exacerbated by direct trauma, running, jumping, climbing stairs, and is relieved by rest.

• Osgood-Schlatter disease can be diagnosed clinically based on the typical symptoms and physical examination findings.

• Imaging is not necessary in diagnosis of Osgood-Schlatter disease.

• Treatment is conservative with RICE (Rest, Ice, Compression, and Elevation)

• Analgesics and NSAIDs may be given for pain relief and reduction of local inflammation.

Summary

References

• Essential Orthopedics and Trauma, David Dandy.

• http://www.uptodate.com

• http://emedicine.medscape.com