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Paediatrics
intermediate
X-Type

Osgood-Schlatter Disease - Traction Apophysitis, Imaging and Management

Paediatric Knee

A 13-year-old male soccer player presents with anterior knee pain localized to the tibial tubercle for 6 months. The pain worsens with running, jumping, and climbing stairs. Examination reveals tenderness and swelling at the tibial tubercle with pain on resisted knee extension. He is at the peak of his growth spurt (Tanner stage 3). The parents are concerned about the visible bump below his knee and want to know if imaging is necessary, what treatment options are available, and whether he can continue playing sports. Regarding Osgood-Schlatter disease:

Mark each as TRUE or FALSE

A

Osgood-Schlatter disease is a TRACTION APOPHYSITIS of the tibial tubercle at the patellar tendon ins...

B

The diagnosis is CLINICAL based on tibial tubercle tenderness, swelling, and pain with resisted knee...

C

Osgood-Schlatter is a fracture of the tibial tubercle; it occurs in children under 5 years; X-rays a...

D

Treatment is CONSERVATIVE: relative rest, activity modification (avoid painful activities), ice, NSA...

E

Most cases (90%) resolve with skeletal maturity; a RESIDUAL OSSICLE may persist in 10-50% causing on...

Answer the questions to see explanations

Click T (True) or F (False) for each option