• Osgood-Schlatter Disease

    (Osteochondrosis)

    Definition

    Osgood-Schlatter disease is inflammation of the bone and surrounding soft tissue just below the knee. It occurs at the point where the shinbone attaches to the tendon of the kneecap.
    The Knee
    Nucleus factsheet image
    Copyright © Nucleus Medical Media, Inc.

    Causes

    Osgood-Schlatter disease is caused by repeated tension or stress on the upper part of the shinbone during growth spurts.

    Risk Factors

    Osgood-Schlatter disease is more common in males and in children 10 to 18 years of age.
    Factors that may increase your risk of getting this condition include:
    • Rapid growth spurts
    • Activities that stress the patellar tendon, such as jogging, jumping, and sudden turning
    • Being overweight

    Symptoms

    Osgood-Schlatter disease may cause:
    • Pain, swelling, and/or tenderness just below the knee that usually worsens during physical activity
    • A swollen, painful bump just below the knee

    Diagnosis

    You will be asked about your symptoms, medical history, and physical activity. An examination of your knee will be done.
    Images may be taken of your bodily structures. This can be done with:

    Treatment

    Osgood-Schlatter disease may go away when the bones and tendons have finished growing. The bump may be permanent.
    Treatment may include:

    Limited Exercise

    The area will need time to heal:
    • Activities that place stress on the patellar tendon will need to be avoided until the swelling and pain go away.
    • A strap, brace, or elastic bandage may need to be used to stabilize and support the area as it heals.

    Physical Therapy

    Physical therapy may be needed to strengthen the affected muscles.

    Pain Relief

    Pain and swelling may be relieved with:
    • Ice compresses during a flare-up or after exercise
    • An over-the-counter pain reliever, such as ibuprofen
    • A local injection of cortisone in severe cases
    Note : Aspirin is not recommended for children with a current or recent viral infection. Check with your doctor before giving your child aspirin.

    Surgery

    If the patellar tendon has pulled away from the shinbone, surgery may be needed to repair the tendon and remove fragments of bone. In most cases, surgery is not needed.

    Prevention

    To prevent the occurrence or recurrence of Osgood-Schlatter disease:
    • Encourage overweight children to lose weight.
    • Encourage children to get moderate exercise.
    • Participate in a variety of sports to avoid repetitive stress.
    • Plan periods of time off from a sport. This should be done during the week and over the course of the year.
    • Delay specializing in one sport until late adolescence.
    • Ask your child's doctor for stretching and strengthening exercises for the shinbone/patellar tendon.

    RESOURCES

    Family Doctor— American Academy of Family Physicians http://familydoctor.org

    Ortho Info—American Academy of Orthopaedic Surgeons http://orthoinfo.org

    CANADIAN RESOURCES

    Canadian Orthopaedic Association http://www.coa-aco.org

    Canadian Orthopaedic Foundation http://www.canorth.org

    References

    Atanda A, Shah S, O'Brien K. Osteochondrosis: common causes of pain in growing bones. Am Fam Physician. 2011 Feb 1;83(3):285-91.

    Aronen JG and Garrick JG. Sports-induced inflammation in the lower extremities. Hosp Pract. 1999;34:51.

    Ducher G, Cook J, Lammers G, Coombs P, Ptazsnik R, Black J, Bass SL. The ultrasound appearance of the patellar tendon attachment to the tibia in young athletes is conditional on gender and pubertal stage. J Sci Med Sport. 2010;13(1):20-23.

    Nakase J, Goshima K, Numata H, Oshima T, Takata Y, Tsuchiya H. Precise risk factors for Osgood-Schlatter disease. Arch Orthop Trauma Surg. 2015;135(9):1277-1281.

    Osgood-Schlatter disease. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115095/Osgood-Schlatter-disease. Updated September 15, 2016. Accessed September 26, 2016.

    Overuse injuries in children. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00613. Updated December 2012. Accessed June 2, 2016.

    Pihlajamäki HK, Visuri TI. Long-term outcome after surgical treatment of unresolved Osgood-Schlatter disease in young men: surgical technique. J Bone Joint Surg A . 2010;92: Suppl 1 Pt 2:258-264.

    10/5/2016 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T115095/Osgood-Schlatter-disease: Brenner JS. Council on Sports Medicine and Fitness. Sports specialization and intensive training in young athletes. Pediatrics. 2016;138(3) [Epub ahead of print].

    Revision Information

  • LiveWell personal health survey

    How healthy are you really? Find out – free.Learn more

    It's time to stop guessing. If you want to make some changes but just aren't sure how, the free personal health survey from LiveWell is a great place to start.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease and prevent heart attacks. HeartSHAPE® is a painless, non-invasive test that checks pictures of your heart for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.


  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.