Sports medicine

Osgood-Schlatter disease


Osgood-Schlatter disease is a common condition affecting adolescents, particularly those who are active in sports. It is characterized by pain, swelling, and tenderness just below the knee, at the top of the shinbone (tibia), where the patellar tendon attaches to the bone. This condition typically occurs during growth spurts, when muscles, bones, tendons, and other structures are rapidly changing.

Key points about Osgood-Schlatter disease include:

  • Causes: It’s thought to be caused by repetitive stress or tension on the part of the growth plate at the top of the shinbone. This is often due to activities that involve running, jumping, and swift changes of direction.
  • Symptoms: The most common symptom is pain just below the knee, which may worsen during activities like running, jumping, or climbing stairs. There might also be swelling or tenderness at the affected area. In some cases, a visible lump can develop due to the pulling of the tendon on the growth plate.
  • Age Group Affected: Osgood-Schlatter disease typically occurs in adolescents, especially during periods of rapid growth. It’s more common in boys but also occurs in girls, particularly those involved in sports.
  • Diagnosis: Diagnosis is usually based on symptoms and a physical examination. X-rays or other imaging tests may be used to rule out other conditions.
  • Treatment: Treatment typically focuses on relieving symptoms and may include rest, ice, over-the-counter pain relievers, and stretching exercises. Reducing or modifying activity until symptoms improve is often recommended. In most cases, symptoms will gradually resolve as the child completes their growth spurt.
  • Prognosis: The condition usually resolves without long-term issues as the adolescent finishes growing. Once the growth plate closes, the symptoms of Osgood-Schlatter disease typically go away.
  • Prevention: While it’s difficult to prevent due to its link with growth spurts, maintaining good flexibility and strength through stretching and conditioning exercises can be helpful.

It’s important to consult a healthcare professional for a proper diagnosis and treatment plan, especially when dealing with growing children and adolescents.

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