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Osgood–Schlatter disease

Morbus Osgood–Schlatter (apophysitis tuberositatis tibiae) · Osgoodova–Schlatterova choroba

What it is

In growing, sporty children the kneecap tendon pulls on its growth plate below the knee, raising a painful bump.

Symptoms & signs

  • Pain and a bony lump just below the kneecap
  • worse with running, jumping and kneeling
  • often both knees
  • eases when growth stops

🚩 Get help if…

  • call 112 / 911 now Sudden pain and can't straighten the knee after a jump
  • see a doctor soon Hot, red lump with fever
  • see a doctor soon Pain at night or at rest
  • see a doctor soon Pain on one side that keeps getting worse

Where it strikes

Medical treatment

  • Reassurance — it settles with growth
  • relative rest and activity modification
  • ice and simple pain relief
  • quadriceps and hamstring stretching
  • rarely, surgery for a loose bone fragment in adulthood

Natural & lifestyle

  • Kneepads for kneeling
  • keep active within pain limits
  • stretching

Emerging & experimental

  • Education programmes on training load
  • shockwave therapy (case series)

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Dextrose prolotherapy — one small trial beat usual care early / small studies
  • Patellar strap — widely used; untested anecdotal / traditional
  • Arnica — anecdotal anecdotal / traditional

ICD codes