Osgood-Schlatter disease

Most patients respond to
conservative care that consists of rest and avoidance of activities
likely to aggravate the condition. Stretching of the quadriceps and
hamstrings before physical activity may be helpful. Applying ice after
activity may decrease swelling and pain. Immobilization by casting or
bracing is usually unnecessary, except in severe cases. Nonsteroidal
anti-inflammatory drugs may be used for analgesia but have not been
shown to decrease the duration of the disease. Steroidal injections
should not be used. When voluntary limitation of physical activity is
unsuccessful, an alternative approach to treatment includes the use of
either an infrapatellar strap or a knee brace. If the patient remains
symptomatic, a walking cylinder cast is recommended to immobilize the
knee in full extension for 3-6 weeks. Surgical treatment is recommended
for the relief of recurrent, disabling episodes that do not respond to
conservative management or for the removal of a cosmetic deformity.




Symptoms usually disappear spontaneously within 1 year, although
discomfort may persist for 2-3 years until closure of the tibial growth
plate is complete in late adolescence. Recurrences are common.
Persistent complaints may be secondary to residual enlargement of the
tuberosity or to ossicle formation in the patellar tendon.



For more information on Osgood-Schlatter disease, see the eMedicine articles Osgood-Schlatter Disease (within the Radiology specialty), Osgood-Schlatter Disease (within the Emergency Medicine specialty), Osgood-Schlatter Disease (within the Orthopedic Surgery specialty),
and Osgood-Schlatter Disease (within the Sports Medicine specialty).



References

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• Bloom OJ, Mackler L, Barbee J. Clinical inquiries. What is the best treatment for Osgood-Schlatter disease?
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• Duri ZA, Aichroth PM, Wilkins R, et al. Patellar tendonitis and anterior knee pain.
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