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Osgood Schlatters Disease

Osgood-Schlatters disease is a disruption of the growth plate at the tibial tuberosity of the shin bone. This is where the thigh muscle attaches onto the shin below the knee. The condition usually occurs in younger active boys and girls coinciding with periods of growth spurts. It actually occurs more frequently in boys than in girls.

The bones are in an active phase of growth at this time and the attachment of the tendon onto a relatively immature tibial tuberosity can get inflamed. Alongside inflammation of the tendon there can occur small avulsion fractures. This leads to excess bone growth in the tuberosity, thus producing a visible lump which can be extremely painful when hit or knocked.

The primary symptom is pain over the tibial tuberosity that occurs during activities such as running, jumping, squatting, and especially going up and down stairs. Treatment is normally quite conservative with relative rest, ice, and if required oral anti inflammatories and local tissue release/ stretches. The condition usually resolves in a few months as growth settles. It is useful at this time to make sure that there are no other factors involved in lower limb movement that may hinder recovery such as a weak hip stability system.

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