Osgood Schlatter’s Disease in Teaching Hospital Setting: A Case Series
Asian Journal of Orthopaedic Research,
Background: Osgood Schlatter disease (Tibial Apophysitis) is a disease of the musculoskeletal system often observed during the bone growth phase in adolescents. It is an inflammation of the tibial tuberosity just below the knee where the patellar tendon attaches to the tibia.
Aim: The aim of this study was to assess the major presenting complains, affected knee and treatment offered to these patients.
Methods: This is retrospective study as data was extracted between December 2020 and January 2022 from the medical records and patients’ case folders on bio‑data, presenting complains, examinations carried out and diagnosis made. Presenting complains, affected knee, and treatment offered were the key variables observed. Only files of patients with complete medical records were included in this study. Descriptive statistical analysis was followed to determine frequencies and percentages.
Results: A total of 8 cases of OSD were extracted. Two cases (25%) were 14 years. We also had cases of 18 and 19 years of age included. About 62.5% of the children were females while 37.5% were males. Majority of these children presented with anterior knee pain (87.5%) while only one child presented with swelling at the knee (12.5%). 75% had OSD on left knee while only 12.5% had it on right and both knees. Most common treatment offered to this patients was lifestyle modifications and oral analgesics.
Conclusions: OSD is a very rare condition and should be considered by physicians in any adolescent with chronic knee pain.
- knee pain
- Osgood Schlatter’s disease
- tibia apophysitis
How to Cite
Cole JP. A study of Osgood–Schlatter disease. Surg Gynecol Obstet. 1937;65: 55–67.
Pease CN. Relationship of Streptococcus viridans to apophysitis of tibial tubercle. Am J Surg. 1934;24:149–150.
Ogden JA. Radiology of postnatal skeletal development. X. Patella and Tibial tuberosity. Skeletal Radiol. 1984;11(4): 246–257.
Ogden JA, Southwick WO. Osgood–Schlatter’s disease and tibial tuberosity development. Clin Orthop Relat Res. 1976;116:180–189
Demirag B, Ozturk C, Yazici Z, Sarisozen B. The pathophysiology of Osgood–Schlatter disease: a magnetic resonance investigation. J Pediatr Orthop B. 2004;13(6):379–382
Hirano A, Fukubayashi T, Ishii T, Ochiai N. Magnetic resonance imaging of Osgood–Schlatter disease: the course of the disease. Skeletal Radiol. 2002;31(6):334–342
de Lucena GL, dos Santos Gomes C, Guerra RO. Prevalence and associated factors of Osgood–Schlatter syndrome in a population-based sample of Brazilian adolescents. Am J Sports. 2011;38(2): 323–45
Circi E, Atalay Y, Beyzadeoglu T. Treatment of Osgood–Schlatter disease: review of the literature. Musculoskelet Surg. 2017;101(3):195–200
Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW (2007) Osgood Schlatter syndrome. Curr Opin Pediatr. 2007;19(1):44–50
Dunn JF. Osgood–Schlatter disease. Am Fam Physician. 1990;41(1):173–176
Kujala UM, Kvist M, Heinonen O. Osgood–Schlatter’s disease in adolescent athletes. Retrospective study of incidence and duration. Am J Sports Med. 1985;13(4): 236–241
Maher PJ, Ilgen JS. Osgood Schlatter Disease. BMJ Case Report. Med. 2013;39(2):415–420
Sailly M, Whiteley R, Johnson A. Doppler ultrasound and tibial tuberosity maturation status predicts pain in adolescent male athletes with Osgood-Schlatter’s disease: a case series with comparison group and clinical interpretation. British Journal of Sports Medicine. 2013;47(2):93-97.
Patel DR, Villalobos A. Evaluation and management of knee pain in young athletes: overuse injuries of the knee. Transl Pediatr. 2017;6(3):190-198.
Cakmak S, Tekin L, Akarsu S. Long-term outcome of Osgood–Schlatter disease: not always favorable. Rheumatol Int. 2014; 34(1):135–136.
Lau LL, Mahadev A, Hui JH. Common Lower Limb Sports-related Overuse Injuries in Young Athletes. Annals Academy of Medicine. 2008;37(4):315-319.
Bloom OJ, Mackler L, Barbee J. Clinical inquiries. What is the best treatment for Osgood-Schlatter disease? Journal of Family Practice. 2004;53(2):153-156.
Halilbasic H, Avdic D, Kreso A, Begovic B, Jaganjac A, Maric M. Importance of clinical examination in diagnostics of Osgood-Schlatter Disease in boys playing soccer or basketball. Journal of Health Sciences. 2012;2(1):21-28
Yashar A, Loder RT, Hensinger RN. Determination of skeletal age in children with Osgood-Schlatter disease by using radiographs of the knee. J Pediatr Orthop. 1995;15:298-301.
Smillie IS: Injuries to the Knee Joint, Ed 5. Edinburgh: Churchill Livingstone; 1978.
King AG. Blundell-Jones G: A surgical procedure for the Osgocd- Schlatter lesion. Am J Sports Med. 1981;9:250-253.
La Zerte GD. Rapp IH: Pathogenesis of Osgood-Schlatter's disease. Am J Pathol. 2001;34:803-811.
Levine J, Kashyap S. A new conservative treatment of Osgocd- Schlatter's disease. Clin Orthop. 2000;158:126-128, 198.
Antich TJ,Stephen J, Lombardo MD. Clinical presentation of osgood- schlatter disease in the adolescent population. Jospt. Art Rev. 2007;18(1):95–120.
Indiran V, Jagannathan D. Osgood- Schlatter disease. N Engl J Med. 2018;378(11):e15.
Emorinken A, Agbebaku FO, Agbadaola OA, Ugheoke AJ (2020). Bilateral Osgood-Schlatter Disease in an Adolescent Nigerian Male: A Case Report Asian Journal of Case Reports in Medicine and Health. 2020;4(1):6-9. Article no.AJCRMH.61172
Pommering TL, Kluchurosky L. Overuse injuries in adolescents. Adolesc Med State. 2008; 372(12).
Ducher G, Cook J, Lammers G. The ultrasound appearance of the patellar tendon attachment to the tibia in young athletes is conditional on gender and pubertal stage. Journal of Science Medicine and Sport. 2010;13(1):20–23.
Hanada M, Koyama H, takahashi M, Matsuyama Y. Relationship between the clinical findings and radiographic severity in Osgood–Schlatter disease. Journal of Sports Medicine. 2012;3:17-20.
Kaya DO, Toprak U, Baltaci G, Yosmaoglu B, Ozer H. Long-term functional and sonographic outcomes in Osgood Schlatter Disease. Knee Surgery Sports Traumatology and Arthroscopy. 2013; 21(5):1131-9.
Circi E, Atalay Y, Beyzadeoglu U. Treatment of Osgood–Schlatter disease: review of the literature. Musculoskelet Surg; 2017. DOI 10.1007/s12306-017-0479-7
Abstract View: 54 times
PDF Download: 71 times