{"id":4930,"date":"2021-05-03T16:40:38","date_gmt":"2021-05-03T14:40:38","guid":{"rendered":"https:\/\/www.physiotutors.com\/?p=4930"},"modified":"2023-03-27T16:41:41","modified_gmt":"2023-03-27T14:41:41","slug":"osgood-schlatter-disease-a-2020-update","status":"publish","type":"post","link":"https:\/\/www.physiotutors.com\/osgood-schlatter-disease-a-2020-update\/","title":{"rendered":"Osgood\u2013Schlatter Disease: a 2020 Update"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Ladenhauf et al (2020<\/strong>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">More of a listener than a reader? Learn about this 2020 update in this video!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Managing Osgood Schlatter | SYNOPSIS\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/8hK3u2tsCWQ?list=PLO_peL93VBmnf2v3svkhsewBcfdaKuzNa\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Epidemiology<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">OSD is a common anterior knee complaint in active children between 10 and 15 years old. Different theories exist regarding epidemiology. The two most prominent one\u2019s are inflammation due to repeated friction of the patella tendon against the tibial tuberosity. Small avulsion fractures results, leading to pain and swelling.&nbsp;<\/p>\n\n\n<div class=\"quote-with-background\" style=\"\">\n    <div class=\"quote-with-background__in\">\n\n        <svg width=\"30px\" height=\"25px\" viewBox=\"0 0 30 25\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\">\n            <g id=\"Design\" stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\">\n                <g id=\"08-blog-redesign\" transform=\"translate(-191.000000, -2974.000000)\" fill=\"#7973FF\" fill-rule=\"nonzero\">\n                    <g id=\"Group-7\" transform=\"translate(80.000000, 2893.000000)\">\n                        <g id=\"\u201c\" transform=\"translate(111.000000, 81.000000)\">\n                            <path d=\"M6.4,25 C4.42666667,25 2.86666667,24.3743344 1.72,23.1230032 C0.573333333,21.871672 0,20.2609159 0,18.2907348 C0,17.2790202 0.173333333,16.2539936 0.52,15.215655 C0.866666667,14.1773163 1.49333333,12.513312 2.4,10.2236422 L6.48,0 L12.8,0 L10,12.5399361 C11.9733333,14.0841321 12.96,16.001065 12.96,18.2907348 C12.96,20.2076677 12.3466667,21.8051118 11.12,23.0830671 C9.89333333,24.3610224 8.32,25 6.4,25 Z M23.44,25 C21.4666667,25 19.9066667,24.3743344 18.76,23.1230032 C17.6133333,21.871672 17.04,20.2609159 17.04,18.2907348 C17.04,17.2790202 17.2133333,16.2539936 17.56,15.215655 C17.9066667,14.1773163 18.5333333,12.513312 19.44,10.2236422 L23.52,0 L29.84,0 L27.04,12.5399361 C29.0133333,14.0841321 30,16.001065 30,18.2907348 C30,20.2076677 29.3866667,21.8051118 28.16,23.0830671 C26.9333333,24.3610224 25.36,25 23.44,25 Z\" id=\"Shape\"><\/path>\n                        <\/g>\n                    <\/g>\n                <\/g>\n            <\/g>\n        <\/svg>\n       <div class=\"quote-with-background__content heading-three\">\n            <h4 class=\"heading-three\"><span style=\"color: #ffffff;\">The diagnosis could rely solely on a thorough history and examination, often an x-ray is not required.<\/span><\/h4>\n       <\/div>\n       <div class=\"quote-with-background__info\">\n                   <\/div>\n    <\/div>\n<!--    <div class=\"quote-with-background__background\">-->\n<!--        <svg width=\"100%\" height=\"100%\" viewBox=\"0 0 849 447\" version=\"1.1\" preserveAspectRatio=none xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\">-->\n<!--            <g id=\"Design\" stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\">-->\n<!--                <g id=\"08-blog-redesign\" transform=\"translate(-80.000000, -2893.000000)\" fill=\"#F1F5FD\">-->\n<!--                    <g id=\"Group-7\" transform=\"translate(80.000000, 2893.000000)\">-->\n<!--                        <polygon id=\"Rectangle\" transform=\"translate(424.500000, 223.500000) scale(-1, 1) translate(-424.500000, -223.500000) \" points=\"0 99.703192 849 -4.43831367e-13 849 347.296808 0 447\"><\/polygon>-->\n<!--                    <\/g>-->\n<!--                <\/g>-->\n<!--            <\/g>-->\n<!--        <\/svg>-->\n<!--    <\/div>-->\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The second theory states that it\u2019s not so much about the avulsion fractures, but rather the patella tendon and surrounding structures that cause the child to have pain and swelling in the area.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">History<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There are a few known risk factors divided in modifiable and non modifiable factors:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline;\">Non modifiable factors include:&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>male gender<\/li>\n\n\n\n<li>patellofemoral alignment<\/li>\n\n\n\n<li>stage of physeal growth<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline;\">Modifiable factors include:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>a higher body weight and\/or BMI<\/li>\n\n\n\n<li>weekly practice routine&nbsp;<\/li>\n\n\n\n<li>tightness of the hamstrings, calf, and quadriceps<\/li>\n\n\n\n<li>reduced core stability.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The diagnosis could rely solely on a thorough history and examination, often an x-ray is not required. One could obtain an X-ray to exclude possible free ossicles and further rule-out other conditions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients with OSD will tell you about worsening symptoms with knee loading which would reflect physical strain on the tibial tubercle. That includes activities like jumping, running, squatting and kicking.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Possible thickening and tenderness of the patella tendon might further increase your suspicion. At last, one should assess the complete lower extremity for strength and muscle tightness.<\/p>\n\n\n<div class=\"cta\" style=\"\">\n    <div class=\"cta__in\">\n        <div class=\"left\">\n            <div class=\"cta__content text-color-light\">\n\t\t\t\t\t\t\t\t\t<h2 class=\"own-size\">PATELLOFEMORAL PAIN &#038; FAT PAD SYNDROME<\/h2>\n\t\t\t\t\t                <p>Claire Robertson has helped thousands of professionals around the world to assess &amp; treat patellofemoral pain and fat pad irritation. Finally, she is sharing her knowledge online in her only complete 2-day online version of her course.<\/p>\n                                        <div class=\"cta__button\">\n                                <a href=\"https:\/\/study.physiotutors.com\/course\/patellofemoral-pain-fat-pad-syndrome\/\" class=\"button button-five\" target=\"_self\">\n                                    Learn more                                <\/a>\n                            <\/div>\n                                    <\/div>\n        <\/div>\n                        <div class=\"right\">\n                    <img decoding=\"async\" src=\"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/06\/Patellofemoral-pain-mockup-full.png\" alt=\"\"\/>\n                <\/div>\n                <\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Treatments<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Treating OSD currently relies on mostly clinical reasoning and expert opinion since we do not have a lot of data. Recommended strategies include activity modification, pausing provocative activities, exercises, flexibility training of tight muscles, core stability training, NSAID\u2019s and\/or ice. Exercises included in a recent Rathleff study (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32284945\/\">ref.<\/a>) included isometric leg extensions, wall squats, bodyweight squats, lunges, and hamstring bridges.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Corticosteroid injections are not recommended.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Reference<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ladenhauf et al (2020): <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31714260\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31714260\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rathleff et al (2020): <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32284945\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32284945\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>OSD is a common anterior knee complaint in active children between 10 and 15 years old. What do we currently know of this pathology? <\/p>\n","protected":false},"author":46,"featured_media":15565,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[187],"tags":[472,480,483,478,477,470,202,467,481,482,476,479,475,474,473,469,468,471],"tracking_tag":[],"class_list":["post-4930","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-knee","tag-adolescent","tag-calfs","tag-consensus","tag-gastrocnemius","tag-hamstrings","tag-knee","tag-knee-pain","tag-osd","tag-patellofemoral","tag-practice-guideline","tag-quadriceps","tag-soleus","tag-strengthening","tag-stretching","tag-teenager","tag-tibia","tag-tuberosity","tag-young"],"acf":{"sections":[{"acf_fc_layout":"featured-related","heading":"Related blog posts","subheading":"","content_editor":"","featured_or_related":"related","posts":null,"button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Osgood\u2013Schlatter Disease: a 2020 Update - Physiotutors<\/title>\n<meta name=\"description\" content=\"Osgood-Schlatter disease is a common anterior knee complaint in active children 10-15 years old. 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