Osgood-Schlatter disease
Osgood-Schlatter disease
Classification & external resources
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| Lateral aspect of right leg. (Tuberosity of tibia labeled at center right.) |
| ICD-10 |
M92.5 |
| ICD-9 |
732.4 |
| DiseasesDB |
9299 |
| MedlinePlus |
001258 |
| eMedicine |
emerg/347 orthoped/426 radio/491 sports/89 |
Osgood-Schlatter disease (also known as tibial tubercle traumatic apophysitis or Louise's knees disease) is an inflammation of the growth plate at the tibial tuberosity. It is one of a group of conditions called Osteochondritis.
The disease is most common in active boys aged 10-15. It most commonly occurs in just one leg but can occur in both at the same time. It is named after the American surgeon Robert Bayley Osgood (1873–1956) and the Swiss surgeon Carl Schlatter (1864–1934), the two people who first described it.[1][2] It usually self resolves.
Causes
The condition is caused by stress on the tendon that attaches the muscle at the front of the thigh to the tibia. It occurs when, following an adolescent growth spurt, stress from contraction of the quadriceps is transmitted through the patellar tendon to the not yet fully-developed tibial tuberosity. This can cause inflammation and avulsion fracture, and eventually results in bone growth in the tendon, producing a visible lump.
Symptoms
A visible bump around 2cm in diameter will appear at the tibial tubercle and will cause pain during and after high impact activities, and sometimes after lesser activities such as climbing stairs. The disease is generally a benign condition which in most cases will eventually disappear on its own. Symptoms may last for 2-3 years, but will nearly always resolve at the end of the growth spurt, or at the latest when the tibial epiphysis fuses. However, many adults will continue to experience pain when kneeling throughout the rest of their lives.[3]
Treatment
Treatment includes rest, icing and stretching. Analgesics can also help reduce pain. Doctors encourage patients to take a break from any more physical activity that could induce more pain until the pain subsides.[4] Immobilization of the knee by a cast may be required if the problem persists.As a last resort surgery, consisting of the drilling (under anaesthetic) of multiple holes through the epiphyseal plate promotes fusion and relieves the condition.
References
- Osgood-Schlatter Syndrome - a patient's guide
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Diseases of the musculoskeletal system and connective tissue (M, 710-739) |
| Arthropathies |
Arthritis (Septic arthritis, Reactive arthritis, Rheumatoid arthritis, Psoriatic arthritis, Felty's syndrome, Juvenile idiopathic arthritis, Still's disease) - crystal (Gout, Chondrocalcinosis) - Osteoarthritis (Heberden's node, Bouchard's nodes)
acquired deformities of fingers and toes (Boutonniere deformity, Bunion, Hallux rigidus, Hallux varus, Hammer toe) - other acquired deformities of limbs (Valgus deformity, Varus deformity, Wrist drop, Foot drop, Flat feet, Club foot, Unequal leg length, Winged scapula)
patella (Luxating patella, Chondromalacia patellae)
Protrusio acetabuli - Hemarthrosis - Arthralgia - Osteophyte |
Systemic connective
tissue disorders |
Polyarteritis nodosa - Churg-Strauss syndrome - Kawasaki disease - Hypersensitivity vasculitis - Goodpasture's syndrome - Wegener's granulomatosis - Arteritis (Takayasu's arteritis, Temporal arteritis) - Microscopic polyangiitis - Systemic lupus erythematosus (Drug-induced) - Dermatomyositis (Juvenile dermatomyositis) - Polymyositis - Scleroderma - Sjögren's syndrome - Behçet's disease - Polymyalgia rheumatica - Eosinophilic fasciitis - Hypermobility |
| Dorsopathies |
Kyphosis - Lordosis - Scoliosis - Scheuermann's disease - Spondylolysis - Torticollis - Spondylolisthesis - Spondylopathies (Ankylosing spondylitis, Spondylosis, Spinal stenosis) - Schmorl's nodes - Degenerative disc disease - Coccydynia - Back pain (Radiculopathy, Neck pain, Sciatica, Low back pain) |
| Soft tissue disorders |
muscle: Myositis - Myositis ossificans (Fibrodysplasia ossificans progressiva)
synovium and tendon: Synovitis - Tenosynovitis (Stenosing tenosynovitis, Trigger finger, DeQuervain's syndrome)
bursitis (Olecranon, Prepatellar, Trochanteric)
fibroblastic (Dupuytren's contracture, Plantar fasciitis, Nodular fasciitis, Necrotizing fasciitis, Fasciitis, Fibromatosis)
enthesopathies (Iliotibial band syndrome, Achilles tendinitis, Patellar tendinitis, Golfer's elbow, Tennis elbow, Metatarsalgia, Bone spur, Tendinitis)
other, NEC: Muscle weakness - Rheumatism - Myalgia - Neuralgia - Neuritis - Panniculitis - Fibromyalgia |
| Osteopathies |
disorders of bone density and structure: Osteoporosis - Osteomalacia - continuity of bone (Pseudarthrosis, Stress fracture) - Monostotic fibrous dysplasia - Skeletal fluorosis - Aneurysmal bone cyst - Hyperostosis - Osteosclerosis
Osteomyelitis - Avascular necrosis - Paget's disease of bone - Algoneurodystrophy - Osteolysis - Infantile cortical hyperostosis |
| Chondropathies |
Juvenile osteochondrosis (Legg-Calvé-Perthes syndrome, Osgood-Schlatter disease, Köhler disease, Sever's disease) - Osteochondritis - Tietze's syndrome |
| See also congenital conditions (Q65-Q79, 754-756) |
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