Paediatrics Case 53 Osgood-Schlatter Disease

Front 1

1. Osgood-Schlatter Disease (OSD)?

Back 1

a. A condition of painful inflammation of the tibial tubercle.
b. Pts w/OSD are usually males who present in late childhood through early adolescence.
c. Repetitive running and jumping motions cause traction and microstress fracture to the developing area, resulting in inflammation, oedema, tenderness, and bony changes.

Front 2

2. What is the knee pain of OSD caused by?

Back 2

a. Inflammation of the tibial tubercle, an extension of the tibial epiphysis or growth plate.

Front 3

3. How is the diagnosis of OSD made?

Back 3

a. Clinically.
b. The pt has no hx of trauma, but he complains of knee pain that increases w/exercise and trauma.

Front 4

4. Slipped Capital Femoral Epiphysis (SCFE)?

Back 4

a. Occurs in adolescents during the growth spurt, leading to a limp and groin or thigh pain.
b. However, hip pain may be referred to the knee.

Front 5

5. What does the PE reveal in Slipped Capital Femoral Epiphysis (SCFE)?

Back 5

a. Limited hip flexion
b. Internal rotation
c. Osteopenia.

Front 6

6. What are pts w/ Slipped Capital Femoral Epiphysis (SCFE) at risk for?

Back 6

a. Avascular necrosis of the femoral epiphysis.
b. Require orthopaedic evaluation.

Front 7

7. Tx of OSD?

Back 7

a. Decreased activity
b. Ice after exercise
c. NSAIDs
d. In severe cases: Knee immobilization and use of crutches may be required.
e. Symptoms may recur until ossification is complete.

Front 8

8. Long-term prognosis for OSD?

Back 8

a. Excellent.

Front 9

9. What should be done for Slipped Capital Femoral Epiphysis (SCFE)?

Back 9

a. Bed red and ortho consult.

Front 10

10. In whom is Slipped Capital Femoral Epiphysis (SCFE) most common?

Back 10

a. Overweight adolescents.