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MUSCULOSKELETAL SURGERY

, Volume 101, Issue 3, pp 195–200 | Cite as

Treatment of Osgood–Schlatter disease: review of the literature

  • E. Circi
  • Y. Atalay
  • T. Beyzadeoglu
Review

Abstract

Background

Osgood–Schlatter disease (OSD) is a self-limiting condition which occurs commonly in adolescence.

Purpose

The objective of this article is to review published literature regarding pathophysiology, diagnosis and treatment of OSD.

Methods

A search of the literature was performed on the electronic databases PubMed, Cochrane and SCOPUS databases between 1962 and 2016 for pathophysiology, diagnosis and treatment of Osgood–Schlatter disease.

Results

OSD, also known as apophysitis of the tibial tubercle, is a common disease with most cases resolving spontaneously with skeletal maturity. In pathophysiology, the most accepted theory is repetitive knee extensor mechanism contraction. The pain is localized to the anterior aspect of the proximal tibia over the tibial tuberosity. They may describe a dull ache exacerbated by jumping or stair climbing. Radiological evaluation may indicate superficial ossicle in the patellar tendon. Osgood–Schlatter is a self-limited disease and generally ceases with skeletal maturity. Treatment is usually symptomatic. Adults with continued symptoms may need surgical treatment if they fail to respond to conservative treatment. Surgical procedures include open, bursoscopic and arthroscopic technique. Arthroscopic surgery is beneficial over an open procedure due to early postoperative recovery, no incisional scar in front of the tuberosity that usually causes discomfort in kneeling with a better cosmetic result and the ability to address concomitant intra-articular pathology.

Conclusion

Osgood–Schlatter syndrome runs a self-limiting course, and usually complete recovery is expected with closure of the tibial growth plate. Overall prognosis for Osgood–Schlatter syndrome is good, except for some discomfort in kneeling and activity restriction in a few cases. Arthroscopic techniques seem to be the best choice of treatment of unresolved Osgood–Schlatter lesions.

Keywords

Osgood–Schlatter disease Pathophysiology Diagnosis Treatment surgery Review 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Istituto Ortopedico Rizzoli 2017

Authors and Affiliations

  1. 1.Department of Orthopaedics and TraumatologyIstanbul Education and Research HospitalIstanbulTurkey
  2. 2.Department of Orthopaedics and TraumatologySisli Hamidiye Etfal Education and Research HospitalIstanbulTurkey
  3. 3.Department of Orthopaedics and TraumatologyBeyzadeoglu ClinicErenkoy, IstanbulTurkey
  4. 4.Department of Physiotherapy and Rehabilitation, School of Health SciencesHalic UniversityIstanbulTurkey

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