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Osgood-Schlatter Disease

Osgood-Schlatter Disease

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What is Osgood-Schlatter Disease?

Osgood-Schlatter Disease is an overuse injury that causes pain at the tibial tuberosity, the bump on the top of the shin, often seen in adolescents.

  • Inflammation at the tibial tuberosity
  • Common during growth spurts in active teens

Overview of the Condition

It typically presents with pain and swelling just below the knee and is self-limiting once growth stabilizes.

Symptoms

  • Pain and tenderness at the tibial tuberosity
  • Swelling below the knee
  • Increased pain with activity

Causes

Overuse and repetitive stress from running and jumping during growth spurts cause inflammation at the growth plate.

Diagnosis

Diagnosis is based on clinical examination and confirmed by X-rays showing changes at the tibial tuberosity.

Treatment Options

  • Rest and activity modification
  • Ice and NSAIDs
  • Physical therapy for stretching and strengthening

Conservative Management

Treatment primarily involves rest, icing, and NSAIDs to manage pain and inflammation.

Rehabilitation Exercises

  1. Gentle stretching of the quadriceps and hamstrings
  2. Strengthening exercises for the knee extensor mechanism
  3. Gradual return to sports activities

Surgical Options

Surgery is rarely indicated; management is usually conservative.

Anatomy Overview

The tibial tuberosity is the bony prominence on the anterior tibia where the patellar tendon attaches.

Affected Areas

  • Tibial tuberosity
  • Anterior knee region

Frequently Asked Questions

QuestionAnswerWill Osgood-Schlatter disease resolve over time?Yes, it typically resolves once the growth plate closes.Is surgery ever required?Surgery is very rarely needed; most cases are managed conservatively.

Prevention Strategies

  • Gradually increase activity levels
  • Incorporate proper warm-up and stretching routines
  • Use supportive footwear during sports

Related Conditions

  • Patellar tendinopathy
  • Osgood-Schlatter-like conditions in other growth plates

Additional Treatments

Rest and rehabilitation are the mainstays of treatment.

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