Osgood-Schlatter disease
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Definition
Osgood-Schlatter disease is a painful swelling of the bump on the upper part of the shinbone, just below the knee. This bump is called the anterior tibial tubercle.
Alternative Names
Osteochondrosis
Causes, incidence, and risk factors
Osgood-Schlatter disease is thought to be caused by small injuries due to repeated overuse before the area has finished growing.
The quadriceps muscle is a large, strong muscle on the front part of the upper leg. When this muscle squeezes (contracts), it straightens the knee. The quadriceps muscle is an important muscle for running, jumping, and climbing.
When the quadriceps muscle is used a lot in sports activities during a child's growth spurt, this area becomes irritated or swollen and causes pain.
It is common in adolescents who play soccer, basketball, and volleyball, and who participate in gymnastics. Osgood-Schlatter disease affects more boys than girls.
References
Patel DR. Musculoskeletal injuries in sports. Prim Care. Jun 2006; 33(2): 545-79.
Cassas KJ. Childhood and adolescent sports-related overuse injuries. Am Fam Physician. Mar 2006; 73(6): 1014-22.
Mercier LR. Osgood-Schlatter disease. Ferri’s Clinical Advisor: Instant Diagnosis and Treatment. 9th ed. St. Louis, Mo: Mosby; 2009:593.
Review Date: 11/12/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Osteochondrosis
Symptoms
The main symptom is painful swelling over a bump on the lower leg bone (shinbone). Symptoms occur on one or both legs.
The person may have leg pain or knee pain, which gets worse with running, jumping, and climbing stairs.
The area is tender to pressure, and swelling ranges from mild to very severe.
Signs and tests
Your doctor can tell if you have this condition by performing a physical exam.
A bone x-ray may be normal, or it may show swelling or damage to the tibial tubercle -- a bony bump below the knee. X-rays are rarely used unless the doctor wants to rule out other causes of the pain.
References
Patel DR. Musculoskeletal injuries in sports. Prim Care. Jun 2006; 33(2): 545-79.
Cassas KJ. Childhood and adolescent sports-related overuse injuries. Am Fam Physician. Mar 2006; 73(6): 1014-22.
Mercier LR. Osgood-Schlatter disease. Ferri’s Clinical Advisor: Instant Diagnosis and Treatment. 9th ed. St. Louis, Mo: Mosby; 2009:593.
Review Date: 11/12/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Osteochondrosis
Treatment
Osgood-Schlatter disease will almost always goes away on its own once the child stops growing.
Treatment includes:
Rest and decreasing activity when your child has symptoms
Putting ice over the painful area two to four times a day, and after activities
Ibuprofen or other nonsteroidal anti-inflammatory drugs (NSAIDs), or acetaminophen (Tylenol).
In many cases, the condition will get better using these methods.
Adolescents should be allowed to play sports if the activity does not cause too much discomfort. However, symptoms will improve faster if activity is kept to a minimum. Sometimes, a child will need to take a break from most or all sports for 2 or more months.
In the rare case where symptoms do not go away, a cast or brace may be used to support the leg until it heals. This typically takes 6 - 8 weeks. Crutches may be used for walking to keep weight off the painful leg.
Rarely, surgery may be needed.
Expectations (prognosis)
Most cases get better on their own after a few weeks or months. Most cases eventually go away once the child finished growing.
Calling your health care provider
Call your health care provider if your child has knee or leg pain, or if pain does not get better with treatment.
References
Patel DR. Musculoskeletal injuries in sports. Prim Care. Jun 2006; 33(2): 545-79.
Cassas KJ. Childhood and adolescent sports-related overuse injuries. Am Fam Physician. Mar 2006; 73(6): 1014-22.
Mercier LR. Osgood-Schlatter disease. Ferri’s Clinical Advisor: Instant Diagnosis and Treatment. 9th ed. St. Louis, Mo: Mosby; 2009:593.
Review Date: 11/12/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Osteochondrosis
Prevention
The small injuries that may cause this disorder are usually unnoticed, so prevention may not be possible. Regular stretching, both before and after exercise and athletics, can help prevent injury.
References
Patel DR. Musculoskeletal injuries in sports. Prim Care. Jun 2006; 33(2): 545-79.
Cassas KJ. Childhood and adolescent sports-related overuse injuries. Am Fam Physician. Mar 2006; 73(6): 1014-22.
Mercier LR. Osgood-Schlatter disease. Ferri’s Clinical Advisor: Instant Diagnosis and Treatment. 9th ed. St. Louis, Mo: Mosby; 2009:593.
Review Date: 11/12/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Review Date: 11/12/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.