Osgood-Schlatter disease also known as Tibial Tubercle Apophysitis is a common condition that affects the knee, most commonly in adolescents who are experiencing growth spurts. It is caused by inflammation of the patellar tendon and can be associated with pain and swelling in the knee.
Inflammation of the patellar tendon in Osgood-Schlatter disease
Risk Factors for Osgood-Schlatter disease
- Adolescents who are experiencing growth spurts are at the greatest risk for developing Osgood-Schlatter disease.
- Participation in sports that involve running, jumping, and other activities that put a lot of stress on the knees.
Symptoms of Osgood-Schlatter disease
- Pain and swelling in the knee, specifically just below the kneecap.
- The pain may be worse during activities that involve bending the knee, such as running, jumping, or climbing stairs.
- In some cases, a small bump may also develop on the shinbone, just below the knee.
Diagnosis of Osgood-Schlatter disease
Osgood-Schlatter disease is typically diagnosed through a physical examination and a review of the patient's medical history. In some cases, imaging tests, such as X-rays or MRI scans, may be ordered to confirm the diagnosis and rule out other conditions that could be causing the symptoms.
MRI demonstrating enlarged tubercle with ossicle, which was painful and ultimately required excision (upper image) vs. normal knee MRI (lower image)
Management of Osgood-Schlatter disease
Treatment for Osgood-Schlatter disease typically involves rest and conservative measures such as ice, pain relievers, and physical therapy to strengthen the knee and surrounding muscles. In some cases, a brace may be recommended to help support the knee and reduce stress on the patellar tendon. Surgery is rarely needed, but may be considered in severe cases that do not respond to other treatments.
Early diagnosis and conservative treatment can often help manage symptoms and promote healing. Anyone experiencing knee pain or swelling should seek medical attention to determine the underlying cause and appropriate treatment plan.
If you have any questions or concerns in regard to the above condition, please contact us and book an appointment to discuss these further.