Robert Osgood-Schlatter Disease

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Research

In 1903, Robert Osgood, a US orthopedic surgeon, and Carl Schlatter, a Swiss surgeon, concurrently described the disease that now bears their names. They found a pattern in which teenagers who are still growing often experience knee pain and inflammation in the area just below the knee and they called it Osgood-Schlatter disease.

Teens experience symptoms of this while doing athletic activities or doing some regular exercise like climbing stairs. They feel pain in their knee, sometimes in both but with one more painful. Checking their knees, they realize there is swelling tender to touch and their muscles may be tight either in the front or the back of their thigh.

Causes

The small lesion in the knee area of the quadriceps, a
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• soft-tissue swelling anterior to the tibial tuberosity

• loss of the sharp inferior angle of the infrapellar fat pad

• thickening and oedema of the inferior patellar tendon

• bone marrow oedema may be seen at the tibial tubercle
…show more content…
The goal of treatment is to eliminate pain, while trying to maintain, as much as possible, the activities of the kid. This can usually be achieved through a combination of stretching, local ice and anti-inflammatory medication.

Treatment includes:

• Resting the knee and lower activity when symptoms occur.

• Apply ice to the painful area two to four times a day and after activities.

• Taking ibuprofen or other nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen (Tylenol).

• Teenagers should be allowed to participate in sports if the activity does not cause too much trouble. However, the symptoms will improve faster if the activity is kept to a minimum. Sometimes a child will need to take a break from most or all sports for two or more months.

• In rare cases, you can use a cast or a brace to support the leg until it heals if symptoms do not go away. This usually takes 6 to 8 weeks. They can be used crutches to walk in order to alleviate the burden on the sore leg.

• Surgery may be necessary in rare cases.

Results

This disease often cures itself, disappeatring when the teenager is done growing at the age of 17 approximately; accordingly the surgery isn’t needed in most cases. Despite this, the prominence of the tubercle may persist

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