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Osgood-Schlatter Disease (Tibial Apophysitis)

David P. Sealy, FAAFP, FAMSSM, CAQSM, MD and Robert J. Tiller, FAAFP, MD Reviewed 06/2021
 


BASICS

DESCRIPTION

  • Osgood-Schlatter disease (OSD) is a syndrome associated with traction apophysitis and patellar tendinosis that is most common in adolescent boys and girls.

    • Patients present with pain ...

DIAGNOSIS

HISTORY

  • Unilateral or bilateral (30%) pain of the tibial tuberosity

  • Pain exacerbated by exercise, especially jumping and landing after jumping

  • Pain upon kneeling on the affected side(s)

  • Antalgic...

TREATMENT

GENERAL MEASURES

  • Frequent ice applications 2 to 3 times per day for 15 to 20 minutes

  • No randomized controlled studies have been published to demonstrate clear benefit of any treatment over ano...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Athletes may return to play if pain is controlled.

  • Presence of pain does not preclude competition.

Patient Monitoring

With worsening of symptoms only 

PATIENT EDUCATION

REFERENCES

1
Ladenhauf HN, Seitlinger G, Green DW. Osgood-Schlatter disease: a 2020 update of a common knee condition in children. Curr Opin Pediatr. 2020;32(1):107-112.
2
Guldhammer C, Rathleff MS, Jens...

ADDITIONAL READING

  • Kaya  DO, Toprak  U, Baltaci  G, et al. Long-term functional and sonographic outcomes in Osgood-Schlatter disease. Knee Surg Sports Traumatol Arthrosc. &#...

CODES

ICD10

  • M92.50 Juvenile osteochondrosis of tibia and fibula, unsp leg

  • M92.51 Juvenile osteochondrosis of tibia and fibula, right leg

  • M92.52 Juvenile osteochondrosis of tibia and fibula, left leg

SNOMED

CLINICAL PEARLS

  • Infrapatellar pain in an adolescent athlete undergoing a rapid growth spurt is OSD, patellar tendinosis, or Sinding-Larsen-Johansson syndrome.

  • Always consider lumbar disc disease, osteo...

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