Basildon EM Handbook 2018

Osgood–Schlatter disease

March 2018 | by EMauthor

•A very common condition affecting preadolescent children, predominantly males

•Characterised by pain over the anterior knee exacerbated by activity

•There is tenderness over the tibial tuberosity, which may be enlarged and indurated, the knee joint is normal

•Radiographs usually show soft tissue swelling and sometimes thickening of the tibial tuberosity

•The disease is self limiting and require may restrain from strenuous physical activity

•Severe symptoms may benefit from a period of using crutches for 2 – 3 weeks, in exceptional circumstances a POP cylinder may be required

•Some form of follow up is needed, depending on severity arrange a GP follow up in 2 – 3 weeks time

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