ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesView all Images (13)
Osgood-Schlatter disease in Child
Other Resources UpToDate PubMed

Osgood-Schlatter disease in Child

Contributors: Connor Sholtis BA, David Sullo MD, Katie Rizzone MD, MPH
Other Resources UpToDate PubMed

Synopsis

Causes / typical injury mechanism: Osgood-Schlatter disease (OS), also known as juvenile osteochondrosis of the tibial tubercle, is a disorder involving inflammation, pain, and swelling of the tibial tuberosity. It is most common in young adolescents, particularly those regularly involved in athletics. OS typically occurs soon after a growth spurt. Symptoms last for 12-18 months, often resolving spontaneously with the closure of the physeal plate of the tibia, although there is a small subset of patients who experience pain after skeletal maturation.

Classic history and presentation: Affected patients often present with an acutely tender and swollen bump over the tibial tubercle. It may present bilaterally or unilaterally. Some patients may have a limp. OS is usually exacerbated by exercise and improves with rest.

Prevalence: OS was historically shown to affect predominantly men, but more recent investigations have shown similar rates in women, likely due to the rise in female athletic participation over the last several decades. It is estimated to affect between 10%-20% of adolescent athletes. Women typically experience symptoms at an earlier age than men (10-13 years versus 11-14 years, respectively), corresponding with the earlier onset of pubertal growth in women.

Risk factors: Risk factors include participation in sports that involve jumping and pivoting, including soccer, basketball, gymnastics, and volleyball. Additionally, there may be limited evidence to show associations with increased body weight and tightness / flexibility of the quadriceps and hamstring muscles.

Pathophysiology: The underlying pathophysiology of OS is poorly understood. Its association with sports participation has led to the hypothesis that it is related to repeated small injuries to the developing knee associated with traction from the patellar tendon.

Codes

ICD10CM:
M92.40 – Juvenile osteochondrosis of patella, unspecified knee

SNOMEDCT:
72047008 – Juvenile osteochondrosis of tibial tubercle

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed: 08/14/2020
Last Updated: 08/14/2020
Copyright © 2020 VisualDx®. All rights reserved.
Osgood-Schlatter disease in Child
Imaging Studies image of Osgood-Schlatter disease
Sag intermediate weighted fat saturated MRI sequence demonstrates bone marrow edema in the region of the fragmented tibial tubercle, with adjacent patellar tendonosis, and deep infrapatellar bursitis. These findings are compatible with Osgood Schlatter disease.
Copyright © 2020 VisualDx®. All rights reserved.