OSGOOD-SCHLATTER DISEASE

Course overview

OSGOOD SCHLATTER DISEASE, ALSO KNOWN AS OSTEOCHONDROSIS, TIBIAL TUBERCLE APOPHYSITIS, OR TRACTION APOPHYSITIS OF THE TIBIAL TUBERCLE, IS A COMMON CAUSE OF ANTERIOR KNEE PAIN IN THE SKELETALLY IMMATURE ATHLETIC POPULATION. CLINICAL PRESENTATION CLASSICALLY ASSOCIATES ATRAUMATIC, INSIDIOUS ONSET OF ANTERIOR KNEE PAIN, WITH TENDERNESS AT THE PATELLAR TENDON INSERTION SITE AT THE TIBIAL TUBEROSITY. THE CONDITION IS SELF-LIMITED AND OCCURS SECONDARY TO REPETITIVE EXTENSOR MECHANISM STRESS ACTIVITIES SUCH AS JUMPING AND SPRINTING. PAIN LEVEL DICTATES OVERALL TREATMENT, AND MANAGEMENT INCLUDES SYMPTOMATIC TREATMENT WITH ICE AND NSAIDS, AS WELL AS ACTIVITY MODIFICATION AND RELATIVE REST FROM INCITING ACTIVITIES IN ASSOCIATION WITH LOWER EXTREMITIES STRETCHING REGIMEN TO CORRECT UNDERLYING PREDISPOSING BIOMECHANICAL FACTORS. THIS ACTIVITY REVIEWS THE ETIOLOGY, PRESENTATION, EVALUATION, AND MANAGEMENT OF TIBIAL TUBEROSITY APOPHYSITIS AND REVIEWS THE ROLE OF THE INTERPROFESSIONAL TEAM IN EVALUATING, DIAGNOSING, AND MANAGING THE CONDITION.