Osgood–Schlatter Disease Week 7, Block 3.1 King Faisal University, Al-Ahsa, Saudi Arabia

1. Osgood–Schlatter Disease
Abdullatiff Sami Al-Rashed
Block 3.1
KFU, Al-Ahsa, Saudi Arabia

2. The Case
• A 13-year-old footballer has pain in
both knees. A hard, bony
protuberance can be felt at the level
of the tuberositas tibiae in both legs.
His parents are concerned

3. Case Questions
1. What is the tuberositas? What is its
function?
2. What is the probable cause of the
patient’s complaints? Could there be a
malignancy?
3. What diagnostics will you use?
4. What treatment is indicated: operative,
conservative or observation ?

4. 1/ What is the tuberositas? What is its
function?
• Tuberosity is an elevations on bones to
which muscles are attached.
• It gives attachments to the muscles and
ligaments.

5. 2/ What is the probable cause of the
patient’s complaints? Could there
be a malignancy?
•According to the case, the most probable
cause of the patient’s complaints is:
OSGOOD–SCHLATTER
DISEASE

6. Osgood–Schlatter Disease
• Osgood–Schlatter Disease is an inflammation
of the patellar ligament at the tibial tuberosity.
• It is characterized by pain and swelling at the
tibial tubercle

7. Osgood–Schlatter Disease
• It is a very common in children aged 10-15
years.
• The disease results from repetitive quadriceps
contraction through the patellar tendon at its
insertion upon the skeletally immature tibial
tubercle.

8. Risk Factors

9. Symptoms

10. 3/ What diagnostics will you
use?
• Osgood-Schlatter disease can be diagnosed
clinically based on the typical symptoms and
physical examination findings.
• Imaging is not necessary to obtain in patients
with clinical findings characteristic of Osgood-
Schlatter disease.

11. 3/ What diagnostics will you
use?
• Plain radiographs are obtained to exclude other
conditions (eg, tibial apophyseal fracture, tumors,
osteomyelitis) in patients who have atypical
features.

12. 4/What treatment is indicated: operative,
conservative or observation ?
• Treatment is conservative with
RICE (Rest, Ice, Compression, and
Elevation)

13. 4/What treatment is indicated: operative,
conservative or observation ?
• Analgesics and NSAIDs may be
given for pain relief and reduction of
local inflammation.

14. Summary
• Osgood–Schlatter Disease is an inflammation of
the patellar ligament at the tibial tuberosity.
• It is a very common in children aged 10-15
years.
• The most common presenting complaint is
anterior knee pain with Swelling.
• Pain is exacerbated by direct trauma, running,
jumping, climbing stairs, and is relieved by rest.

15. Summary
• Osgood-Schlatter disease can be diagnosed
clinically based on the typical symptoms and
physical examination findings.
• Imaging is not necessary in diagnosis of
Osgood-Schlatter disease.
• Treatment is conservative with RICE (Rest, Ice,
Compression, and Elevation)
• Analgesics and NSAIDs may be given for pain
relief and reduction of local inflammation.

16. References
• Essential Orthopedics and Trauma,
David Dandy.
• http://www.uptodate.com
• http://emedicine.medscape.com