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Welcome, medical contents search April 29, 2013
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Osgood-Schlatter Disease

more about Osgood-Schlatter Disease

  • Pain just below the knee, during the childhood or adolescent years
  • In Osgood-Schlatter disease, a small growth center on one of the leg bones (the tibia) degenerates, causing pain.  The pain is on the front of the leg, just below the kneecap, where a small bony bump is located on the tibia.  This bump is there because it is a point of attachment for a muscle.  Everyone has this bump, but it is not painful normally.

  • Knee pain in the affected knee, especially when running, jumping, and negotiating stairs
  • Tenderness over the affected tibial tubercle, which is actually just below the knee joint, and not part of the knee joint itself
  • The pain feels like knee pain and tenderness, but is actually originating just below the knee.  The knee joint actually is not involved, in this disease.
  • Edema over the tibial tubercle
  • The disease sometimes affects both knees.

  • One theory is that stress on this bumpy muscle attachment (the tibial tubercle) from repeated muscle contractions of the quadriceps thigh muscle may cause very small Fractures to occur in this bump on the bone.  This causes pain.

  • History of pain at the site mentioned, especially when running, etc.
  • Tenderness and possibly swelling at the site
  • Both knees may be affected.
  • X-rays are sometimes used to confirm the diagnosis and to exclude bone tumor or joint disease.  X-rays may show a chalky white appearance of the tibial tubercle on the affected side.  The chalky appearance on X-ray alone is not sufficient to make the diagnosis.

  • Athletes
  • Adolescents -- boys more than girls

  • Rest, and avoidance of athletics that stress the knees
  • Avoidance of stair climbing, running, jumping
  • Intermittent ice packs
  • Anti-inflammatory medication
  • Padding
  • Physical therapy

  • This is usually a very minor condition, but it can have periods of worsening when resuming athletics.

  • Consult a physician.

  • Serious diseases in the region of the knee can cause pain in the knee area.
  • Minor injury can cause similar pain at or near the knee.
  • Sever's Disease involves pain in the back end of the heel bone, due, as with Osgood-Schlatter, to degenerative change in a growth center. (Osgood-Schlatter disease involves pain below the knee.)

more about Osgood-Schlatter Disease

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