What is Osgood-Schlatter disease (tibial tubercle apophysitis)?

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From the Research

Osgood-Schlatter disease is a self-limiting condition that can be effectively managed with conservative treatment, and surgery is rarely necessary, as indicated by the most recent study 1. The condition is characterized by inflammation, pain, and swelling at the tibial tuberosity, caused by the patellar tendon pulling on the growth plate. Key factors to consider in the management of Osgood-Schlatter disease include:

  • Reducing high-impact activities like running and jumping during acute flare-ups, as suggested by 2
  • Implementing specific stretching exercises for the quadriceps and hamstrings, as recommended by 3
  • Using over-the-counter pain relievers like ibuprofen or acetaminophen, as mentioned in 4
  • Strengthening exercises for the quadriceps can help when pain subsides, as indicated by 5 Most cases resolve with conservative management within 6-18 months as the child's growth slows, and the condition rarely causes long-term problems, as stated in 1. It is essential to create prevention programs that can be objectively assessed and would allow to stop the progress of the pathology, particularly in those sports where high forces are generated on the insertion zone of the patellar tendon at sensitive ages, as suggested by 1. Parents and patients should understand that this is a growth-related condition that typically resolves once skeletal maturity is reached, as mentioned in 2. In rare cases where disabling symptoms and pain persist after physeal closure, operative treatment may be necessary, as indicated by 2. Overall, the prognosis for Osgood-Schlatter disease is good, with most patients experiencing complete recovery with closure of the tibial growth plate, as stated in 5.

References

Research

A systematic review on conservative treatment options for OSGOOD-Schlatter disease.

Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine, 2021

Research

Osgood-Schlatter disease.

American family physician, 1990

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