by Rick Alan
Osgood-Schlatter disease is inflammation of the bone and surrounding soft tissue just below the knee. It occurs at the point where the shinbone attaches to the tendon of the kneecap.
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Osgood-Schlatter disease is caused by repeated tension or stress on the upper part of the shinbone during its growth spurts.
Factors that may increase your risk of getting this condition include:
The doctor will ask about your symptoms, medical history, and physical activity. An examination of your knee will be done. Diagnosis is based on the symptoms. In some cases, you may have an x-ray or an ultrasound of the knee.
Osgood-Schlatter disease may go away when the bones and tendons have finished growing. The bump may be permanent.
Treatment may include:
Pain and swelling may be relieved with:
Note: Aspirin is not recommended for children or teens with a current or recent viral infection. This is because of the risk of Reye's syndrome. Ask your doctor which other medicines are safe for your child.
If the patellar tendon has pulled away from the shinbone, surgery may be needed to repair the tendon and remove fragments of bone. In most cases, surgery is not needed.
To prevent the occurrence or recurrence of Osgood-Schlatter disease:
American Academy of Family Physicians
American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Atanda A, Shah S, O'Brien K. Osteochondrosis: common causes of pain in growing bones. Am Fam Physician . 2011 Feb 1;83(3):285-91.
Aronen JG and Garrick JG. Sports-induced inflammation in the lower extremities. Hosp Pract . 1999;34:51.
Ducher G, Cook J, Lammers G, Coombs P, Ptazsnik R, Black J, Bass SL. The ultrasound appearance of the patellar tendon attachment to the tibia in young athletes is conditional on gender and pubertal stage. J Sci Med Sport . 2010;13(1):20-23.
Osgood-Schlatter disease. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated January 24, 2012. Accessed June 24, 2013.
Overuse injuries in children. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00613 . Updated December 2012. Accessed June 24, 2013.
Pihlajamäki HK, Visuri TI. Long-term outcome after surgical treatment of unresolved Osgood-Schlatter disease in young men: surgical technique. J Bone Joint Surg Am . 2010;92: Suppl 1 Pt 2:258-264.
Last reviewed June 2013 by Michael Woods, MD
Last Updated: 5/11/2013