Osgood–Schlatter disease and tibial stress fracture

Case contributed by Mahmoud Ibrahim Mekhaimar , 7 Jul 2018
Diagnosis almost certain
Changed by Brian Gilcrease-Garcia, 14 Jul 2018

Updates to Study Attributes

Findings was changed:

CT confirms plain film findings of:

Fragmentation

  • fragmentation of the left tibial tuberosity associated with mild soft tissue swelling.

    A horizontal

  • horizontal (stress) fracture line (stress fracture) in the proximal tibial metaphyses associated with periosteal reaction.

Updates to Study Attributes

Findings was changed:

Fragmentation of the left tibial tuberosity associated with mild soft tissue swelling.

A horizontal fracture line (stress fracture) is seen in the proximal tibial metaphyses associated with subtle periosteal reaction, most consistent with a stress fracture.

Updates to Case Attributes

Body was changed:

The patient gave history of playing football and usually works in a restaurant. 

On examination, the patient demonstrated classical clinical findings including localized tenderness and swelling over the left tibial tuberosity, classic clinical findings for Osgood-Schlatter disease.  The condition commonly affects growing adolescents and is seen most frequently in boys from age 10-15 1

  • -<p>The patient gave history of playing football and usually works in a restaurant. </p><p>On examination, the patient demonstrated classical clinical findings including localized tenderness and swelling over the left tibial tuberosity.  The condition commonly affects growing adolescents and is seen most frequently in boys from age 10-15 <sup>1</sup>. </p>
  • +<p>The patient gave history of playing football and usually works in a restaurant. </p><p>On examination the patient demonstrated localized tenderness and swelling over the left tibial tuberosity, classic clinical findings for <a title="Osgood-Schlatter disease" href="/articles/osgood-schlatter-disease">Osgood-Schlatter disease</a>.  The condition commonly affects growing adolescents and is seen most frequently in boys from age 10-15 <sup>1</sup>. </p>

References changed:

  • 1. Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW. Osgood Schlatter syndrome. (2007) Current opinion in pediatrics. 19 (1): 44-50. <a href="https://doi.org/10.1097/MOP.0b013e328013dbea">doi:10.1097/MOP.0b013e328013dbea</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/17224661">Pubmed</a> <span class="ref_v4"></span>
  • 1. Gholve PA, Scher DM, Khakharia S et-al. Osgood Schlatter syndrome. Curr. Opin. Pediatr. 2007;19 (1): 44-50. doi:10.1097/MOP.0b013e328013dbea - Pubmed citation

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