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Osgood-Schlatter Disease (Tibial Apophysitis)

David P. Sealy, MD and Robert J. Tiller, MD, FAAFP Reviewed 06/2018
 


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 pai...

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

  • Rest and activity modification—avoid activities that increase pain and/or swelling.

  • Physical therapy helps w...

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
Kabiri L, Tapley H, Tapley S. Evaluation and conservative treatment for Osgood-Schlatter disease: a critical review of the literature. Intl J Ther Rehab.  2014;21(2):91–96.
2
Narayan N,...

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.  2013;21(5):1131–1139. [Vi...

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

ICD9

7...

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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