Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- pain at the tibial tubercle
- localized tenderness
Outros fatores diagnósticos
- activity limitation
- localized swelling
- localized warmth
- prominence of the tibial tubercle
- pain at the tubercle with resisted knee extension
Fatores de risco
- adolescent males
- athletic participation
- history OSD in the contralateral knee
- high position of the patella (patella alta)
- more proximal/broader tibial attachment of the patella tendon
- increased external tibial torsion
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- plain radiographs
Investigações a serem consideradas
- ultrasonography
- MRI
Algoritmo de tratamento
early stage
progressive or late stage
persistence of pain into late adolescence or adulthood
Colaboradores
Autores
Alexander Golant, MD

Attending Physician
Department of Orthopaedics and Rehabilitation
New York-Presbyterian-Queens
Flushing
Assistant Professor of Clinical Orthopaedic Surgery
Weill Medical College of Cornell University
New York
NY
Declarações
AG declares that he has no competing interests.
Jeffrey Rosen, MD
Chairman
Department of Orthopaedics and Rehabilitation
New York-Presbyterian-Queens
Flushing
Associate Professor of Clinical Orthopaedic Surgery
Weill Medical College of Cornell University
New York
NY
Declarações
JR is an author of a reference cited in this topic.
Agradecimentos
Dr Jeffrey Rosen and Dr Alexander Golant would like to gratefully acknowledge the assistance of Jonathan Naysan. JN declares that he has no competing interests.
Revisores
Paul M. Sethi, MD
Orthopedic Surgeon
Orthopedic and Neurosurgery Specialists PC
Greenwich
CT
Declarações
PMS declares that he has no competing interests.
Andreas Roposch, MD, MSc, FRCS
Consultant Orthopaedic Surgeon
Reader in Clinical Epidemiology and Surgery
UCL Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust
London
UK
Declarações
AR declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Gholve PA, Scher DM, Khakharia S, et al. Osgood Schlatter syndrome. Curr Opin Pediatr. 2007;19:44-50. Resumo
Pihlajamäki HK, Mattila VM, Parviainen M, et al. Long-term outcome of surgical treatment of unresolved Osgood-Schlatter disease in young men. J Bone Joint Surg Am. 2009;91:2350-2358. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Fracture of the tibial tubercle
- Fat pad hypertrophy/impingement (Hoffa disease)
- Inferior patellar pole traction apophysitis (Sinding-Larsen and Johansson syndrome)
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