Osgood Schlatter Condition
Synonyms of Osgood Schlatter Condition
- Osgood-Schlatter's Disease
- Osteochondrosis, Tibial Tubercle
- Schlatter Disease
- No subdivisions found.
Osgood-Schlatter condition (formerly known as Osgood-Schlatter's disease) is a painful condition characterized by tiny, microfractures of the bony bump in the lower leg bone (tibia) where the ligament from the kneecap (patella) is inserted into the tibia. The bump is known as the tibial tubercle. It is a disorder of the early teens, especially during a growth spurt, more likely to affect young men than young women, especially athletes of either sex who are active in games requiring substantial running and/or jumping.
It is a common, transient, short-term disorder, also called an overuse condition, that usually requires only rest and restraint from further strenuous activity for a relatively short period of time before it heals itself.
Osgood-Schlatter condition is characterized by painful, inflamed, swelling at the site of the bump (tubercle) on the bone located between the knee and the ankle (tibia). Pressing on the site makes the pain worse, which eases off as the pressure is reduced. Symptoms are made worse by any exercise or activity that stretches the leg, even contracting the muscles of the thigh against resistance.
The condition affects one leg (unilateral) in about 60% to 75% of the cases. In other cases, it is bilateral (affecting both legs). Osgood-Schlatter condition usually heals itself (self-limiting). Long-term affects are uncommon although there have been some incidences of fractures of the tibia and joint discomfort years after the original diagnosis.
The exact cause of Osgood-Schlatter condition is unknown. There is one school of thought that believes the cause to be the result of many microfractures that are not noticeable but which affect the growth plate behind the bump. The other school of thought believes that the persistent stress of the thigh muscles (quadriceps) pulling on the ligaments at the bump affects the growth plate. Most of the athletes who are affected are young enough for the long bones still to be immature. The immaturity combined with the relentless irritation appears to set off the condition, hence the term an overuse condition.
Osgood-Schlatter condition occurs more frequently in early adolescent males by a ratio of about 3:1. Boys are usually between the ages of 11 and 13 at onset of the condition. Girls are usually a couple of years older at onset, between 13 and 15.
Symptoms of the following disorders can be similar to those of Osgood- Schlatter condition:
Kienboeck disease is an acquired bone disorder. Abnormalities of the lunate bone in the wrist develop following an injury or inflammation. Recurrent pain and stiffness occur in conjunction with thickening, swelling and tenderness in the soft tissue overlying the lunate bone. The range of motion in the wrist may become limited. (For more information on this disorder, choose "Kienboeck" as your search term in the Rare Disease Database.)
Legg-Calve-Perthes syndrome is a rare disease affecting the hip joint. Abnormalities in bone growth early in life may result in permanent deformity of the hip joint several years later. (For more information on this disorder, choose "Legg-Calve" as your search term in the Rare Disease Database.)
The diagnosis of Osgood-Schlatter's condition may be confirmed by a thorough clinical evaluation an a variety of specialized test particularly advanced imaging techniques. An x-ray examination may reveal a slight separation of the tibial tubercle with new bone formation beneath it.
Treatment of Osgood-Schlatter's condition consists of rest, decreasing activity, and possibly immobilizing the affected leg with a cast. On a few occasions surgery has been used to help some individuals with the condition.
Information on current clinical trials is posted on the Internet at www.clinicaltrials.gov. All studies receiving U.S. government funding, and some supported by private industry, are posted on this government web site.
For information about clinical trials being conducted at the NIH Clinical Center in Bethesda, MD, contact the NIH Patient Recruitment Office:
Tollfree: (800) 411-1222
TTY: (866) 411-1010
For information about clinical trials sponsored by private sources, contact:
Osgood Schlatter Condition Resources
Beers MH, Berkow R., eds. The Merck Manual, 17th ed. Whitehouse Station, NJ: Merck Research Laboratories; 1999:.
Berkow R., ed. The Merck Manual-Home Edition. Whitehouse Station, NJ: Merck Research Laboratories; 1997:.
Behrman RE, Kliegman RM, Arvin AM. Eds. Nelson Textbook of Pediatrics. 15th ed. W.B. Saunder Company. Philadelphia, PA; 1996.
Adirim TA, Cheng TL. Overview of injuries in the young athlete. Sports Med. 2003;33:75-81.
Duri ZI, Patel DV, Aichroth PM. The immature athlete. Clin Sports Med. 2002;21:461-82.
Blankstein A, Cohen I, Heim M, et al. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease. A clinical study and review of the literature. Arch Orthop Trauma Surg. 2001;121:536-39.
Thomee R, Augustsson J, Karlsson J. Patellofemoral pain syndrome: a review of current issues. Sports Med. 1999;28:245-62.
Hitano A, Fukubayashi T, Ishii T, et al. Magnetic resonance imaging of Osgood-Schlatter disease: the course of the disease. Skeletal Radiol. 2002;31:334-42.
Segawa H, Omori G, Koga Y. Multiple osteochondroses of bilateral knee joints. J Orthop Sci. 2001;6:286-89.
Orava S, Malinen L, Karpakka J, et al. Results of surgical treatment of Osgood-Schlatter lesion. Ann Chir Gynaecol. 2000;89:298-302.
de Inocencio J. Musculoskeletal pain in primary pediatric care: analysis of 1000 consecutive general pediatric clinic visits. Pediatrics. 1998;102:E63.
Nowinski RJ, Mehlman CT. Hyphenated history: Osgood-Schlatter disease. Am J Orthop. 1998;27:584085.
FROM THE INTERNET
Osgood-Schlatter disease. Your Orthopedic Connection (AAOP). July 2000. 2pp.
Chen AL. Osgood-Schlatter disease. Medical Encyclopedia. MEDLINEplus. Update Date: 2/12/2003. 3pp.
Osgood-Schlatters Disease. William Sport News Susquehanna Health System. Last revised: January 23, 2003. 2pp.
Newfield KB, Kruse RW. Osgood-Schlatters Condition. nd. 2pp.
Osgood-Schlatter's Disease. SportsInjuryClinic. nd. 1p.
Osgood Schlatters Disease. Juvenile News No. 28. April 2003. 3pp.
Osgood-Schlatters. Athletic Advisor. nd. 3pp.
The information in NORD’s Rare Disease Database is for educational purposes only. It should never be used for diagnostic or treatment purposes. If you have questions regarding a medical condition, always seek the advice of your physician or other qualified health professional. NORD’s reports provide a brief overview of rare diseases. For more specific information, we encourage you to contact your personal physician or the agencies listed as “Resources” on this report.
The National Organization for Rare Disorders (NORD) web site, its databases, and the contents thereof are copyrighted by NORD. No part of the NORD web site, databases, or the contents may be copied in any way, including but not limited to the following: electronically downloading, storing in a retrieval system, or redistributing for any commercial purposes without the express written permission of NORD. Permission is hereby granted to print one hard copy of the information on an individual disease for your personal use, provided that such content is in no way modified, and the credit for the source (NORD) and NORD’s copyright notice are included on the printed copy. Any other electronic reproduction or other printed versions is strictly prohibited.
Copyright ©1989, 1997, 2003
Report last updated: 2008/04/23 00:00:00 GMT+0
NORD's Rare Disease Information Database is copyrighted and may not be published without the written consent of NORD.