Osgood Schlatter Disease

This lesion is typically seen in athletic teenagers. Girl and boy athletes are both affected. Football, soccer, basketball, gymnastics, and ballet can cause this injury. The anatomic lesion is the partial separation of the tibial tuberosity at the insertion of the patellar tendon. In about one-fourth of cases, it is a bilateral process. Palpation of the tibial tuberosity reveals tenderness and induration. A lateral x-ray of the proximal tibia with the knee flexed 30 degrees reveals an elevation of the distal portion of the tubercle off of the tibia. Alternatively, ultrasound can be used. Cold compresses, anti-inflammatory drugs, and stopping the offending activity is standard treatment. Follow-up with an orthopedist is advisable for this sometimes chronic condition.

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