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Osgood Schlatter disease: An Audit Profile of 35 Adolescents

Author Information

Kireti V.M. MBChB, MMed(Surg) , Atinga J.E., MBChB, MMed, MSc(Ortho), Affiliation: Department of Orthopedic Surgery, University of Nairobi, Correspondence: Kireti, V.M,

Corresponding author:

Dr. Kireti, V.M, P.O Box 19741 Nairobi, 00202 – Nairobi, Email: vmkireti@yahoo.ca

Abstract

Background: Osgood-Schlatter disease is a common cause of anterior knee pain in the adolescent. Treatment is usually conservative with surgery reserved for those who do not respond to this treatment. There is little published work regarding the experience with the disease in our local set up. This series documents the experience with 35 adolescents treated for the disease.

Design: Case series Subjects Thirty five adolescents with clinical and radiological diagnoses of Osgood-Schlatter disease at Nairobi and Kenyatta National Hospitals, between 2001 and 2007.

Method: Patients were evaluated for demographics, knee involvement, activities  associated with pain and treatment outcome

Results: There were 28 males and 7 females, aged 10 to 16 years (mean 12.8 years). Thirteen had bilateral knee involvement. Twenty two were involved in active sports while the rest had constant pain and unable to sit or kneel. A family history of the disease was documented in one case. Thirty adolescents responded well to the conservative treatment. In the five adolescents who underwent surgery, the patella tendon was edematous with thickening of the tendon sheath and neovascularization. All the operated adolescents returned to active sports with 6 weeks after the surgery.

Conclusion: Osgood-Schlatter disease is a self-limiting condition in majority of adolescents. Surgery when indicated has an excellent outcome.

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