Osgood Schlatter's Disease (tibial tubercle apophysitis)

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Topic updated on 11/09/12 6:33pm
Introduction
  • An overuse injury
    • caused by a microfracture of the immature apophysis
    • due to stress imposed by the extensor mechanism
  • Common in jumpers or sprinters
Presentation
  • Presents with
    • pain on anterior aspect of knee
  • Physical exam
    • enlarge tibial tubercle
Imaging
  • Radiographs
    • may show irregularity and fragmentation of the tibial tubercle
Treatment
  • Nonoperative
    • NSAIDS, rest, activity modification, and quadriceps stretching
      • indicated as first line of treatment
      • a self limiting process
    • cast immobilization for 6 weeks
      • indicated if very severe symptoms
  • Operative
    • ossicle excision
      • indicated in refractory cases (very rare)

 


 

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