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HERO ID
7010425
Reference Type
Journal Article
Subtype
Review
Title
Osgood-Schlatter disease: a 2020 update of a common knee condition in children
Author(s)
Ladenhauf, HN; Seitlinger, G; Green, DW; ,
Year
2020
Is Peer Reviewed?
Yes
Journal
Current Opinion in Pediatrics
ISSN:
1040-8703
EISSN:
1531-698X
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Location
PHILADELPHIA
Volume
32
Issue
1
Page Numbers
107-112
Language
English
PMID
31714260
DOI
10.1097/MOP.0000000000000842
Web of Science Id
WOS:000544918000014
Abstract
Purpose of review Osgood-Schlatter disease (OSD) is one of the most common causes for anterior knee pain in children and adolescents resulting from a traction apophysitis of the tibial tubercle. While a peak in boys aged 12-15 years old was well documented, there seems to be no difference in sex distribution nowadays. This may result from increased participation of young females in high-impact sports. This review provides an up-to-date account on contemporary prophylaxis as well as diagnostic and therapeutic approaches. Recent findings Numerous studies have examined risk factors for OSD. These include body weight, muscle tightness, muscle weakness during knee extension and flexibility of hamstring muscles. In particular, shortening of the rectus femoris may substantially alter biomechanical functions of the knee. Conservative management remains successful in over 90% of patients. However, if disabling symptoms and pain persistent after physeal closure, operative treatment may be necessary. OSD is a mostly self-limiting apophysitis of the tibial tubercle and the adjacent patella tendon in young active patients with open physis. Prevention strategies include quadriceps and hamstring stretching and therefore should be implemented in everyday practice routines for children who partake in regular sports activities.
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