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Osgood–Schlatter Disease

Article  in  New England Journal of Medicine · March 2018

DOI: 10.1056/NEJMicm1711831

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2 authors:

Venkatraman Indiran Devimeenal Jagannathan

Bharath University kilpauk medical college
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Osgood–Schlatter Disease

A
13-year-old boy presented to the orthopedic clinic with a Venkatraman Indiran, M.D., D.N.B.
1-week history of pain in both knees. He was active in sports and had Sree Balaji Medical College and Hospital
participated in the long jump during the previous 6 months. He reported Chennai, India
no specific trauma, fever, or other joint symptoms. A physical examination of the ivraman31@gmail.com
right knee showed mild soft-tissue swelling and tenderness over the tibial tubercle, Devimeenal Jagannathan, M.D.,
and the right quadriceps muscle was taut. The left knee was normal. Plain radio- D.M.R.D., D.N.B.
graphs of both knees, which were obtained to rule out an avulsion fracture given
Government Kilpauk Medical College
the patient’s history of participation in the long jump, showed sclerosis and frag- Chennai, India
mentation of the tibial tubercle in both knees, with soft-tissue swelling on the right
knee (arrow). These characteristic findings led to a diagnosis of Osgood–Schlatter
disease, or osteochondrosis of the tibial tubercle, caused by repetitive traction of the
patellar tendon at its attachment on the tibial tubercle. Osgood–Schlatter disease
typically occurs during the early adolescent growth spurt between 10 and 15 years
of age, particularly in children who participate in sports that involve running and
jumping. Most cases resolve with supportive treatment. The patient received treat-
ment with ice and nonsteroidal antiinflammatory drugs and was provided with
instructions for stretching and strengthening exercises for the quadriceps and
hamstring muscles. At a follow-up visit 3 weeks later, the patient reported less pain
but stated that he chose not to resume participation in the long jump.
DOI: 10.1056/NEJMicm1711831
Copyright © 2018 Massachusetts Medical Society.

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