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Osgood-Schlatter disease (traction apophysitis)

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Osgood-Schlatter disease (traction apophysitis)

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High Yield Notes
16 pages
Flashcards

Osgood-Schlatter disease (traction apophysitis)

8 flashcards
Questions

USMLE® Step 1 style questions USMLE

1 questions

USMLE® Step 2 style questions USMLE

1 questions
Preview

A 14-year old boy comes to your office with complaints of gradual onset of pain just below his right kneecap over the past month. He has just started playing basketball for the junior varsity team at his school and he is very excited for the season to begin. Unfortunately, the pain in his knee is exacerbated by all the jumping he has to do during practice. He feels the same type of pain when he is going up and down the stairs. He denies any preceding injury to the knee. Physical examination shows full range of motion of his knee, but the pain is reproducible when he extends his knee against resistance. Which of the following is the most likely diagnosis?

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Transcript

Content Reviewers:

Rishi Desai, MD, MPH

Osgood-Schlatter disease is an inflammation of the patellar ligament, right at the point where it inserts on the tibial tuberosity, resulting in painful swelling just below the knee.

It’s named after two orthopedic surgeons; the American Robert Osgood, and the Swiss Carl Schlatter.

So focusing in on the knee, the proximal epiphysis of the tibia, which is the upper end of the tibia that contributes to the knee joint, has a bony prominence called the tibial tuberosity.

This is considered an apophysis, meaning tha