Osgood-Schlatter Disease

WHAT YOU SHOULD KNOW

Osgood-Schlatter disease is a temporary disruption in the bone and cartilage at the top of the shinbone, next to the knee. Usually only one leg is affected. The condition develops primarily in boys aged 10 to 15 years. With proper care, symptoms usually disappear within a few weeks.

Causes

The localized trauma that marks this disease is thought to be due to strain at the point where the tendon from the kneecap is attached to the shinbone. Until this juncture is fully developed, repeated stress on the area may lead to injury and can disrupt growth. The disease frequently appears after extended or intensive sports activity.

Signs/Symptoms

Typical symptoms include pain, swelling, and tenderness at the top of the shin, just below the knee. You may even notice a small bump at the site. Pain increases with activities in which the knee is repeatedly bent and straightened, such as climbing stairs, jumping, or weight-lifting.

Care

With adequate rest, this disorder typically clears up on its own. During the recovery period, make sure the child avoids excessive exercise, especially deep knee bends. In extremely rare cases, surgery may be needed to correct the problem. It is unlikely to recur once the child is full grown.

Risks

If left untreated, the disorder will get progressively worse and temporarily disable the child. The more serious the condition is allowed to become, the more difficult treatment will ultimately be.

WHAT YOU SHOULD DO

• Rest the affected knee as much as possible for a few days following diagnosis. This is the best way to ensure a full recovery.
• Use a warm compress, heating pad, or whirlpool bath to relieve pain.
• Once the pain subsides, elevate the affected knee and apply ice to prevent swelling for 20 minutes three times per day.
• Wrap the knee in an elastic bandage.
• Over-the-counter pain relievers such as aspirin or ibuprofen may be taken for minor discomfort.
• Your doctor may also suggest the aid of crutches and/or braces to reduce tension on the area.
• Do not participate in any activities that put stress on the knee. Avoid jumping and bending.

Call Your Doctor If...

• Pain and swelling do not begin to clear up after a few days of care.
• A fever develops.