Osgood-Schlatter disease is a condition characterised by pain and tenderness over the most prominent bony part on the tibia just below the front of the knee (the tibial tubercle). Oahu is the commonest form of traction apophysitis.
Osgood Schlatter
Clinical presentation:
It always happens in children in the generation of 10-14 years particularly those involved with running or jumping sports. It's almost Four times commoner in boys in comparison to girls. It really is characterised by anterior knee pain and tenderness which worsens on activity. A typical feature is difficulty in kneeling down.
Symptomatology:
Pain, tenderness and swelling on the tibial tubercle
Pain can be elicited by pressing down on the shin in the flexed knee position using the subject wanting to extend against resistance
long standing cases show weakening and eventual wasting with the quadriceps about the affected side
traditional cases also show limited ability of knee flexion
Investigations:
X-ray: usually not required as diagnosis is clinical. However, when performed, it shows soft tissue swelling over the tibial tubercle along with fragmentation from the tibial tubercle (both features when contained in combination are considered diagnostic).
Indications for X-ray:
when diagnosis is at doubt
when a more severe injury (avulsion with the tibial tubercle) is suspected
while in spite of a good treatment, symptoms are relieved
Treatment:
Rest from activity has become the best mode of treatment esp. in severe cases
In milder cases, some activity level may be allowed to be done
To cut back the degree of grip around the tibial tubercle, a graded flexibility program for your quadriceps and hip flexors is undertaken
Strengthening from the quadriceps is another fantastic way to reduce traction on the tibial tubercle
Abnormalities of joint movements like hyperpronation in addition to patellar malalignment ought to be corrected by educating the subject along with undertaking exercise programs and orthotics
Prognosis
Osgood Schlatter
Usually excellent
Calcification can happen in a small number of cases; symptoms persist longer, instability of the knee joint may appear. Such cases may require surgical intervention.