Osgood-Schlatter disease

Last updated: May 17, 2021

Summarytoggle arrow icon

Osgood-Schlatter disease is a tibial osteochondritis thought to arise from overuse of the quadriceps muscle during periods of growth. This causes a traction apophysitis at the tibial insertion of the quadriceps tendon. The most common symptom is anterior knee pain that worsens with exercise. A tibial bump may be felt and can often be seen on x-ray. Treatment is usually conservative. Surgical excision is only necessary in severe and treatment-resistant cases.

Epidemiologytoggle arrow icon

Epidemiological data refers to the US, unless otherwise specified.

Etiologytoggle arrow icon

Clinical featurestoggle arrow icon

  • Progressive anterior knee pain that is worse with activity and is reproducible with extension against resistance
  • Proximal tibial swelling

Diagnosticstoggle arrow icon

Treatmenttoggle arrow icon

  • Mostly conservative (rest, ice, NSAIDs; )
  • Strengthening and stretching of the quadriceps muscle
  • Generally resolves once full bone maturity is reached
  • Surgical excision of intratendinous ossicles in severe cases [1]

Referencestoggle arrow icon

  1. Gholve PA, Scher DM, Khakharia S, et al. Osgood Schlatter syndrome. Curr Opin Pediatr. 2007; 19 (1): p.44-50.doi: 10.1097/MOP.0b013e328013dbea . | Open in Read by QxMD
  2. Blankstein A, Cohen I, Heim M, et al. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease. Arch Orth Traum Surg. 2001; 536–539 (121): p.9.doi: 10.1007/s004020100285 . | Open in Read by QxMD

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