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Osgood Schlatter
disease (Diagnosis (History (PMH
Growth and…
Osgood Schlatter
disease
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Pathophysiology
Mechanism
Traction along with inflammation causes
avulsion of the tibial tuberosity
Pain along patella tendon, tibial tuberosity,
worse on quads contraction
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Diagnosis
Examination
Musculoskeletal exam
Tender, swollen knee, tender over tibial tuberosity
Pain on straight leg raise (quads contraction)
Hip adn ankle exam (nil)
Investigations
Imaging
X-ray knee: enlarged tibial tuberosity, may have fragmentation
MRI knee: tendonitis
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History
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PC/HPC
Painful knee swelling, worse
on strenuous activity
FH
Osgood schlatter, bone tumours,
other orthopedic disorders
SH
Living arrangements, school/nursery,
physical activity e.g. sports
Management
Medical
Analgesia
Indication: pain
E.g. paracetamol, NSAIDs
Surgical
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Tibial tuberosity excision
Indication: other measures failed
MOA: excision of tuberosity once
skeleton mature
Conservative
Information, advice, support
Self care (rest, ice packs, knee pads)
Physiotherapy (strengthening)