Orthopedics Book

Meniscus

Sesamoid

Joint dislocation

http://www.fpnotebook.com/

Osgood Schlatter

Aka: Osgood Schlatter, Osgood-Schlatter, Tibial Apophysitis, Juvenile Osteochondrosis of Tibial Tubercle, Osgood-Schlatter Disease
  1. See Also
    1. Sinding-Larsen-Johansson Disease
  2. Epidemiology
    1. Common in physically active children near Puberty (age range 10-14 years old)
      1. Boys (more common): Age 13-14 years old
      2. Girls: Age 10-11 years old
    2. More common in Running and cutting sports
      1. Soccer
      2. Basketball
      3. Gymnastics
      4. Volleyball
  3. Pathophysiology
    1. Repetitive traction of Patellar tendon on tibial tubercle Ossification Center (apophysis)
    2. Cartilage detachment from tibial tuberosity
    3. Acute stress
      1. Recent increase in athletic activity
      2. Recent growth spurt
  4. Symptoms
    1. Waxing and waning anterior Knee Pain for months
    2. Bilateral in up to one third of patients
    3. Knee Pain aggravated by
      1. Running
      2. Jumping or hurdling
      3. Going up and down stairs
      4. Direct pressure wwith kneeling
      5. Squatting
  5. Signs
    1. Localized tenderness and swelling at tibial tuberosity (tibial tubercle)
    2. No overlying erythema
    3. Knee range of motion is intact
    4. Provocative maneuvers
      1. Knee extension against resistance
      2. Passive knee hyperflexion to buttock
        1. Results in exquisite pain at tibial tubercle
        2. Diagnostic for Osgood Schlatter
  6. Differential Diagnosis
    1. See anterior Knee Pain
    2. Tibial apophysis avulsion Fracture
    3. Slipped capitalfemoral epiphysis with radiating pain
  7. Imaging: Knee XRay
    1. Rules-out Fracture, tumor or Osteomyelitis
    2. May show tibial tubercle fragmentation and overlying soft tissue swelling
  8. Associated Conditions
    1. Sinding-Larsen Johansson Disease
      1. Small avulsion Fracture of the inferior pole of Patella
      2. Pathophysiology and management are the same as with Osgood-Schlatter
  9. Management
    1. Reduce Physical Activity
    2. Consider infrapatellar strap
    3. Knee immobilizer splint may occasionally be useful
    4. Quadriceps strengthening
    5. Surgical excision of ossicle may ultimately be needed if persistently painful (rarely needed)
    6. Protect the area from direct Trauma
    7. Analgesics as needed (Acetaminophen, NSAIDs)
    8. Avoid local Corticosteroid Injections
      1. Weakens Patellar ligament
      2. Thins and depigments skin
    9. Orthopedic Consultation if persistent pain despite mature skeleton
  10. Course
    1. Self limited, resolves over months
    2. Resolves when tibial tubercle fuses to diaphysis
  11. References
    1. Atanda (2011) Am Fam Physician 83(3): 285-91 [PubMed]
    2. Dunn (1990) Am Fam Physician 41:173-6 [PubMed]

Juvenile osteochondrosis of tibial tubercle (C0029376)

Concepts Disease or Syndrome (T047)
MSH D055034, D010007
SnomedCT 79353000, 72047008, 268124001, 156820001, 430642003
English Juvenile osteochondrosis of tibial tubercle, Osgood Schlatter's disease, Osteochondritis of the proximal tibia, Osteochondritis proximal tibia, Tibial tubercle juv. osteoch., Osteochondritis tib tubercle, Osteochondritis of tibial tubercle, Osgood Schlatter disease (diagnosis), OSGOOD SCHLATTER DIS, Osgood-Schlatter Disease, Osgood Schlatter Disease, Osteochondrosis of tibial tubercle, Osgood Schlatter disease, disease osgood schlatters, diseases osgood schlatter, osgood schlatter disease, osgood-schlatter disease, disease osgoods schlatter's, disease osgood schlatters's, Disease;Osgood-Schlatter, disease osgood-schlatter, osgood schlatter's disease, osgood-schlatter's disease, schlatter's disease osgood, disease osgoods schlatters, tibial tubercle osteochondrosis, disease osgood schlatter, osteochondrosis, Osgood Schlatters disease, Osgood schlatter's dis., Osgood Schlatter disease (disorder), Osgood-Schlatter's disease, Tibial tubercle juvenile osteochondritis, Juvenile osteochondrosis of tibial tubercle (disorder), Osgood-Schlatter; osteochondrosis, Osgood-Schlatter, Schlatter-Osgood, osteochondrosis; Osgood-Schlatter, Osgood-Schlatter's Disease, Osteochondrosis of Osgood-Schlatter, Osteochondrosis of proximal tibia, Osgood-Schlatter disease
Dutch ziekte van Osgood-Schalatter, osteochondrose van tibia tuberculum, Osgood-Schlatter; osteochondrose, osteochondrose; Osgood-Schlatter, Osgood-Schlatter, ziekte van
French Ostéochondrose du tubercule tibial, Maladie d'Osgood-Schlatter, Maladie de Schlatter, Apophysite tibiale antérieure de croissance, Maladie d'Osgood, Apophysite tibiale antérieure
German Osteochondrose des Schienbeintuberkulums, Osgood-Schlatter-Krankheit, Schlatter-Osgood-Krankheit
Italian Osteocondrosi del tubercolo tibiale, Malattia di Osgood-Schlatter
Portuguese Osteocondrose da tuberosidade da tíbia, Doença de Osgood-Schlatter
Spanish Osteocondrosis de tubérculo tibial, Enfermedad de Osgood-Schlatter, enfermedad de Osgood - Schlatter, osteocondrosis juvenil del tubérculo tibial, enfermedad de Osgood Schlatter (trastorno), enfermedad de Osgood Schlatter, osteocondrosis juvenil del tubérculo tibial (trastorno)
Japanese オスグッド・シュラッター病, 脛骨粗面の骨端症, ケイコツソメンノコッタンショウ, オスグッドシュラッタービョウ
Czech Morbus Osgood-Schlatter, Osgoodova-Schlatterova nemoc, Osgood-Schlatterova nemoc, Osgoodův-Schlatterův syndrom, Lannelonguova nemoc
Hungarian Osgood-Schlatter-betegség, Tibia-tuberculum osteochondrosisa
Norwegian Osgood-Schlatter-sykdom, Juvenil osteokondrose tuberositas tibia, Osgood-Schlatters sykdom
Sources
Derived from the NIH UMLS (Unified Medical Language System)


You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree