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Osgood-Schlatter Disease 734.2

 Osgood-Schlatter Disease xray

synonyms:

Osgood-Schlatter ICD-10


Osgood-Schlatter ICD-9

  • 732.4 (juvenile osteochondrosis of the lower extemity, excluding foot)

Osgood-Schlatter Etiology / Epidemiology / Natural History

  • Osteochondrosis of the proximal tibial apophysis associated with rapid growth of adolescence. Traction apophysitis.
  • boys>females.  Average age boys=12+9, Girls=10+8
  • Associated with running, jumping sports
  • 40% bilateral

Osgood-Schlatter Anatomy

Osgood-Schlatter Clinical Evaluation

  • Pain and swelling localized to tibial tubercle.
  • Pain exacerbated by with knee extension against resistance and with palpation.
  • Tibial tubercle is often prominent.

Osgood-Schlatter Xray / Diagnositc Tests

Osgood-Schlatter Classification / Treatment

  • Activity modification for 6 wks, ice, stretching, NSAIDs, patellar tendon stap or protective brace over tibial tubercle may minimize symptoms.  Resume activities once symptoms abate.

Osgood-Schlatter Associated Injuries / Differential Diagnosis

Osgood-Schlatter Complications

  • Continued pain into adulthood.

Osgood-Schlatter Follow-up Care

  • Symptoms last  12-24 months in 95% of pts.  32% develop ossicle.  60% are unable kneel without pain long-term.  24% of some activity limitation long-term.
  • May develop separate ossicle which can be painful as an adult.

Osgood-Schlatter Review References