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© The ONLY scientifically proven cure for Osgood Schlatter’s Disease
Osgood Schlatter’s Disease
Osgood Schlatter's Disease is typically suffered by active sporty children. It can
be extremely painful and debilitating, often causing them to stop playing sport,
and can even affect their everyday life activities such as walking to school, climbing
stairs and even sitting down from standing. No active child wants to stop playing
and participating in their sports which can lead to further pain and frustration.
It is in essence, a sports-
Medical conditions were traditionally named after the doctors who first described
them and Osgood-
Robert Osgood was a US orthopaedic surgeon who lived from 1873 to 1956. born in Massachusetts US. He received his undergraduate degree from Amherst College in 1895, and M.D. from Harvard Medical School in 1899. After graduating and working at the House of the Good Samaritan, which was devoted to the care of patients with chronic diseases, Dr. Osgood began a surgical internship at the Massachusetts General Hospital. Later, he served at the Boston Children’s hospital at which time he discovered the growth and traumatic disturbances of the tibial tubercle (the bony protrusion below the knee) during adolescence.
Carl B. Schlatter was a Swiss surgeon who lived from 1864 to 1934. He received his
education from the universities of Zurich, Heidelberg, Vienna, and Paris. He graduated
as a Doctor of Medicine at the University of Zurich in 1889. In the winter of 1889
to 1890 he studied in Vienna with Christian Albert Theodore Billroth and Eduard Albert
The language of orthopedics often credits the original describers or those who popularized
a disease process by attaching their names to the disease process in question. These
Similar conditions such as Sever’s disease and Sinding-
In most instances children are affected as they go through their secondary growth spurts. This usually occurs in their early teens. The most common age for Osgood Schlatters is between 12 and 14 years old. There is a ratio of boys to girls at 2:1, who get it but this may reflect the types of sport or activity played rather than a difference in gender . It is much more common in those young athletes who play lots of sport. Studies have shown that the incidence rate may be as high as 30%. High levels of sport involvement e.g. more than 12 hrs of organised sport per week, and also certain sports are factors which can increase the chances of getting it.
The onset of Osgood-
Once the child has got it, there is a tendency to keep recurring until full skeletal maturity occurs and that can take years. The average time for someone to be actually suffering the pain of Osgood Schlatters and limiting their sport is 21 months. Eventually the skeletal bone stops growing so fast and the epiphysis solidifies and hardens so the tendon attachment gets stronger and the condition resolves, but it often leaves a large and tender hard lump behind. Whilst this may not bother future sporting activities like running and kicking, it can cause problems with kneeling and squatting for the rest of their lives.
So although many books will tell you that the syndrome is a ‘self-
Osgood Schlatters has even been documented in dogs and race horses. It is not just a human problem. No official studies have examined whether the animals suffering were adolescents or very active!
This soft site is called the epiphysis and the tendon attachment area is called the
‘apophysis’. The word ‘apophysitis’ just means inflammation (-
Although it is often linked to high levels of sporting activity with higher than normal levels of intensity or engagement, it can also occur in some children who don’t do a lot of sport but may be growing at a more rapid rate that average.
As explained above the condition has been around since 1903, and there has been no research published to date looking at the causes. There have been numerous studies which describe patients who had it.
Some factors are common though. For instance, it is rare it occurring in:
Intensity of sport or physical activity is thought to be a factor – a rapid increase in muscle strength/girth could place too much strain on the the apophysis (tendon attachment zone) . Those who participate in sports that rely on powerful contractions of the quadriceps muscle which is attached to the patella tendon and that accentuate kicking, sprinting or jumping and swift changes of direction appear to have higher incidences of Osgood Schlatter’s Disease. These sports include football/soccer, netball, tennis, basketball, gymnastics, figure skating and ballet.
Another area of interest to researchers is the growth rate of these youngsters. It may be an important factor to look at as there is often a genetic incidence which is most likely to be related to growth rate patterns. This is not related to the type or intensity of sport played.
And related to this growth rate is an apparent reduction of muscle flexibility. This too may have an important part to play as tight muscles will cause more traction pull on the tendon.
Poor biomechanics could be involved as incorrect alignment of the joint will place
abnormal loads on the tendon and with repeated use could cause an overuse-
The first symptom is usually pain after activity The child will point to the area
and as the condition gets worse it is characterised by a swollen and tender lump
forming at the top of the shin (tibia), which is below the front of the knee. Whilst
there is a lump there anyway, called the tibial tubercle, when a child has Osgood-
Movements of the knee can be painful, and powerful ballistic actions such as jumping, running and kicking, will be difficult if not impossible. Other early signs are that your child's style of running changes and they may even limp after activity.
Flexibility of the thigh muscles is often reduced (tight) as well and ability to squat is affected and reduced by knee pain.
Usually, clinical examination is all that is required as the enlarged lump and ‘Ouch’ reaction of the patient is indicative of the condition. The age of the patient and history of the problem must match the classic group as highlighted above.
It is important to note that there are some more serious conditions such as infection or tumours that may need to be excluded.
For this reason parents of children with knee pain should always get a diagnosis for this condition from a qualified health practitioner such as a Medical Doctor or Physiotherapist.
Medical imaging tests may be needed to diagnose the condition and its staging (severity) accurately.
MRI scans show both of the above but are more expensive and time consuming to perform. CT scans can also be very informative but these are not as easily available. See picture upper right.
UK Footballers Paul Scholes and Steven Gerrard suffered Osgood Schlatters and went on to play premiership football and have both played for England.
Gaël Monfils is a French professional tennis player. He has reached a career-
An up and coming member of the England rugby revolution, Ben Morgan also suffered the condition in his youth.
Daniel Welbeck was diagnosed with Osgood-
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