Doença de Osgood-Schlatter
Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- dor na tuberosidade tibial
- sensibilidade localizada
Outros fatores diagnósticos
- limitação da atividade
- edema localizado
- calor localizado
- proeminência da tuberosidade tibial
- dor na tuberosidade com extensão do joelho contra resistência
Fatores de risco
- homens adolescentes
- participação em atividades atléticas
- história de doença de Osgood-Schlatter no joelho contralateral
- posição elevada da patela (patela alta)
- inserção tibial mais ampla/mais proximal do tendão patelar
- aumento da torção tibial externa
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- radiografias simples
Investigações a serem consideradas
- ultrassonografia
- RNM
Algoritmo de tratamento
estágio inicial
progressivo ou estágio avançado
persistência da dor no final da adolescência ou na fase adulta
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
Disclosures
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.
References
Key articles
Gholve PA, Scher DM, Khakharia S, et al. Osgood Schlatter syndrome. Curr Opin Pediatr. 2007;19:44-50. Abstract
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. Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Fratura da tuberosidade tibial
- Hipertrofia do coxim gorduroso/pinçamento (doença de Hoffa)
- Apofisite de tração do polo patelar inferior (síndrome de Sinding-Larsen e Johansson)
More Differentials
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