In this article, we will discuss Osgut Schlatter Disease.
This is an introduction to the very famous Osgut disease, also known as Osgut, and this injury.
When does it happen?
It is said to be caused by excessive contraction of the quadriceps muscle before the closure of the epiphyseal cartilage during growth, which exerts excessive traction on the tibial tuberosity.
The more often the muscles in the front of the thigh are subjected to force, the more likely they are to become affected.The more frequently the muscles in the front of the thigh are stressed, the more likely it is to occur.
Characteristics
It is characterized by pain in the rough surface of the tibia (the part that sticks out when the knee is bent), loss of mobility due to pain, and pain before and after exercise.
Continued exercise in the presence of pain may lead to segmentation of the tibial tuberosity.If the bone fragment remains in the adult and causes pain, removal surgery may be indicated.
Case
Male, 18 years old
He complained of pain in the rough surface of the tibia during baseball practice and dashing for a month.
Although tenderness and swelling were observed in the affected area, stretching of the quadriceps muscle did not induce pain.
There was no difference in muscle strength during knee extension.
Simple X-rays confirmed the diagnosis and showed bone fragments free.
Five months had passed since then, and the pain had recurred one week before.
This time, the pain was induced by stretching of the quadriceps muscle.
Because of the prolonged symptoms and the patient's intention to continue playing baseball, we performed a surgical removal of the bone fragment.
He was able to return to sports 1.5 months after the surgery, and his pain has decreased dramatically.
Conclusion
This is one of the most common knee problems that I have seen in my clinical experience.
Unlike the above cases, most of the patients came to see the doctor some time after the injury, so we have not seen any cases of bone fragment removal, but there were cases where the treatment lasted for two months.
I have also seen literature that focuses on the strength of contraction of the hamstrings, not just the excessive contraction of the quadriceps.
The quadriceps can be considered as a brake muscle and the hamstrings as a dash muscle, so it seems that too much braking may be related to the induction of the syndrome.
This is why activating the hamstrings is a common way to deal with the syndrome.
The pain will subside in time, but it is still painful, and I recommend that you see a doctor who can treat it properly.
