Osgood-Schlatter disease: Difference between revisions

(Created page with "==Background== *Apophysitis of tibial tubercle resulting from repeated normal stresses or overuse *Pts are usually 10-15yr old *More commonly occurs in running or jumping athlete...")
 
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==Background==
==Background==
[[File:Knee diagram2.png|thumb|Anatomy of anterolateral aspect of right knee.]]
*Apophysitis of tibial tubercle resulting from repeated normal stresses or overuse
*Apophysitis of tibial tubercle resulting from repeated normal stresses or overuse
*Pts are usually 10-15yr old
*Patients are usually 10-15yr old
*More commonly occurs in running or jumping athletes
*More commonly occurs in running or jumping athletes
==Clinical Features==
[[File:Gray1240.png|thumb|Showing tibial tubersoity.]]
*Most cases are bilateral
*Most cases are bilateral
**Although symptoms are commonly asymmetric
**Although symptoms are commonly asymmetric
==Diagnosis==
*Chronic, intermittent pain over the anterior aspect of knee and tibial tuberosity
*Chronic, intermittent pain over the anterior aspect of knee and tibial tuberosity
*Pain aggravated by activity, improves w/ rest
*Pain aggravated by activity, improves with rest
*Prominence and soft tissue swelling over tibial tubercle
*Prominence and soft tissue swelling over tibial tubercle
*Imaging is not necessary
 
==Differential Diagnosis==
{{Knee DDX}}
 
==Evaluation==
[[File:osgood-schlatter-xray.png|thumb|Lateral view X-ray of the knee tibial with overlying soft tissue swelling.]]
*Imaging is not typically necessary
**If obtained shows nonspecific irregularities of tibial tubercle
**If obtained shows nonspecific irregularities of tibial tubercle
*Indications for knee xrays (to evaluate for avulsion fracture of the tibial epiphysis)
**Swelling
**Inability to actively extent the knee
** decreased strength with knee extension, or inability to walk


==Treatment==
==Management==
*Disease is self-limited
*Disease is self-limited
**Most pts' symptoms respond to rest and temporary avoidance of offending activity
**Most patients' symptoms respond to rest and temporary avoidance of offending activity
**Complete avoidance of activity is not essential
**Complete avoidance of activity is not essential
*Immobilization is contraindicated
*Immobilization is contraindicated
*NSAIDs
*[[NSAIDs]]
*Apply ice after activity
*Apply ice after activity


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Discharge
Discharge


==Source==
==See Also==
Tintinalli
*[[Knee diagnoses]]
 
==References==
<references/>
 


[[Category:Peds]]
[[Category:Pediatrics]]
[[Category:Ortho]]
[[Category:Orthopedics]]
[[Category:Sports Medicine]]

Revision as of 21:53, 21 May 2020

Background

Anatomy of anterolateral aspect of right knee.
  • Apophysitis of tibial tubercle resulting from repeated normal stresses or overuse
  • Patients are usually 10-15yr old
  • More commonly occurs in running or jumping athletes

Clinical Features

Showing tibial tubersoity.
  • Most cases are bilateral
    • Although symptoms are commonly asymmetric
  • Chronic, intermittent pain over the anterior aspect of knee and tibial tuberosity
  • Pain aggravated by activity, improves with rest
  • Prominence and soft tissue swelling over tibial tubercle

Differential Diagnosis

Knee diagnoses

Acute knee injury

Nontraumatic/Subacute

Evaluation

Lateral view X-ray of the knee tibial with overlying soft tissue swelling.
  • Imaging is not typically necessary
    • If obtained shows nonspecific irregularities of tibial tubercle
  • Indications for knee xrays (to evaluate for avulsion fracture of the tibial epiphysis)
    • Swelling
    • Inability to actively extent the knee
    • decreased strength with knee extension, or inability to walk

Management

  • Disease is self-limited
    • Most patients' symptoms respond to rest and temporary avoidance of offending activity
    • Complete avoidance of activity is not essential
  • Immobilization is contraindicated
  • NSAIDs
  • Apply ice after activity

Disposition

Discharge

See Also

References