Osgood-Schlatter disorder

Clinical history

Symptoms

Physical exam

Investigations

Xray to rule out serious pathology such as:
- neoplasm
- acute tibial apophyseal fracture
- infection

GP management

Reassurance parents that this is a self-limiting condition and symptoms will resolve with skeletal maturity (i.e. when the bones finish growing).
symptoms typically last from a few months up to 24 months.
In some cases, symptoms can persist longer, especially if the patient remains physically active without adequate treatment
Activity Modification:
- Reducing activities that exacerbate symptoms, such as jumping or running, is often recommended.
Physical Therapy:
- Strengthening and stretching exercises, particularly for the quadriceps and hamstring muscles, can help alleviate symptoms.
Cold Therapy:
- Applying ice to the affected area can help reduce pain and swelling.
Knee Straps or Braces:
- These can provide support to the area and reduce strain on the tibial tuberosity.
Rest:
- Adequate rest is crucial, especially during periods of rapid growth or intense sports seasons.
Cast immobilization x 6 weeks
- Casting is rarely required in the management of OSD.
- It is generally considered only in severe cases where significant pain and functional impairment persist despite exhaustive conservative management.
- Casting may also be considered if there is a large, painful ossicle that interferes with knee function, or if conservative measures have failed and surgery is not an option or is being deferred

Indications for specialist referral