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Osgood-Schlatter disease

Última revisão: 20 Aug 2025
Última atualização: 07 Mar 2023

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • pain at the tibial tubercle
  • localized tenderness
Detalhes completos

Outros fatores diagnósticos

  • activity limitation
  • localized swelling
  • localized warmth
  • prominence of the tibial tubercle
  • pain at the tubercle with resisted knee extension
Detalhes completos

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
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • plain radiographs
Detalhes completos

Investigações a serem consideradas

  • ultrasonography
  • MRI
Detalhes completos

Algoritmo de tratamento

AGUDA

early stage

CONTÍNUA

progressive or late stage

persistence of pain into late adolescence or adulthood

Colaboradores

Autores

Alexander Golant, MD
Alexander Golant

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

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

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

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