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Osgood-Schlatter Disease

Brief Outline of Osgood-Schlatter Disease

Osgood-Schlatter disease is a condition that affects young teens. It is more prevalent in males than females and has a slightly higher prevalence in the left knee than the right. The patella tendon pulls on the tibial tuberosity just below the knee, and when the quadriceps are tight or repetitive flexion and extension is present, this stress may cause small avulsion fractures, resulting in inflammation and pain. Active children or those with previous knee injuries are more susceptible to this condition. During running, jumping, and kicking activities, the quadriceps must contract and relax continuously, which also stresses the attachment at the tibia.

Cause of Osgood-Schlatter Disease

Tight quadriceps due to growth spurt. Prior knee injury. Repetitive contractions of the quadriceps muscles.

Signs and Symptoms of Osgood-Schlatter Disease

Pain, worse at full extension and during squatting, subsides with rest. Swelling over the tibial tuberosity, just under the knee. Redness and inflammation of the skin just below the knee.

Complication if left Osgood-Schlatter Disease unattended

If left unattended the condition will continue to cause pain and inflammation and could lead to muscle loss in the quariceps. In rare cases, untreated Osgood-Schlatter syndrome could lead to a complete avulsion fracture to the tibia.

Immediate Treatment for Osgood-Schlatter Disease

R.I.C.E. Anti-inflammatory medications.

Rehabilitation and prevention for Osgood-Schlatter Disease

Most cases of Osgood-Schlatter syndrome responds well to rest that is followed by a regimen of stretching and strengthening of the quadriceps muscles. Limiting activities that cause pain and tend to aggravate the issue is important during recovery. Gradual increases in intensity and proper warm-up techniques will help prevent this condition.

Long-term prognosis and surgery for Osgood-Schlatter Disease

Osgood-Schlatter disease tends to correct itself as the bone becomes stronger and mature. The pain and inflammation go away and there are seldom any long-term effects. Rare cases may require anti-inflammatory injections to aid recovery.