Osgood-Schlatter disease: The Daily PANCE Blueprint

The answer is C, Overuse Injury

Repetitive running and jumping activities place the greatest strain on the apophysis of the tibial tubercle. If proper rest is not obtained between these activities, the condition is more likely to develop.

Pearls

Osgood-Schlatter disease involves apophysitis of the proximal tibial tubercle often due to overuse

• Active, young boys who have experienced a recent growth spurt and partake in running and jumping activities are most at risk for this condition.

Diagnosis

Osgood-Schlatter disease is a clinical diagnosis based on history; additional signs and symptoms include anterior knee pain that increases over time, an enlarged tibial tubercle, and localized edema

• Diagnostic imaging with a lateral radiograph of the knee
  • For atypical presentation (pain not related to activity, fever, rash, etc.) to exclude other conditions (e.g. osteomyelitis)
  • Irregularity and fragmentation of the tibial tubercle

Treatment

Benign and self-limiting

• Conservative analgesics, ice, and physical therapy – first-line treatment for Osgood-Schlatter disease
• Operative – ossicle resection and/or excision of the tibial tuberosity – considered in patients who do not respond to conservative management and after skeletal maturity