4.8 • 678 Ratings
🗓️ 5 May 2021
⏱️ 3 minutes
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0:00.0 | Hello and welcome to the Zero to Finals podcast. |
0:06.4 | My name is Tom and in this episode I'm going to be talking to you about Osgood Schlatter's disease. |
0:11.5 | And if you want to follow along with written notes on this topic, |
0:13.9 | you can follow along at zero definals.com slash Osgood Schlatters |
0:17.9 | or in the orthopedic section of the zero definals pediatrics book. |
0:22.6 | So let's get straight into it. |
0:25.2 | Osgood Schlatter disease is caused by inflammation at the tibial tuberosity where the |
0:30.5 | patella ligament inserts. |
0:33.1 | It's a common cause of anterior knee pain in adolescence. |
0:37.3 | The disease typically occurs in patients aged |
0:39.6 | 10 to 15 years and is more common in males. Osgood-slatter disease is usually unilateral, |
0:45.9 | but it can also be bilateral. Let's talk about the path of physiology. The patella tendon inserts |
0:53.4 | into the tibial tuberosity. The tibial |
0:56.5 | is at the epiphyseal plate or the growth plate. Stress from running, jumping and other |
1:04.3 | movements at the same time as growth in the epiphygial plate results in inflammation on the |
1:10.0 | tibial epiphygial plate results in inflammation on the tibial epiphygial plate. |
1:12.5 | There are multiple small evulsion fractures where the patella ligament pulls away |
1:18.2 | tiny pieces of the bone from the tippial epiphygial plate. |
1:22.8 | This leads to growth of the tibial tuberosity causing a visible lump just below the knee. |
1:30.1 | Initially, this lump is tender due to the inflammation, but over time the bone heals and the |
1:35.3 | inflammation settles and it becomes a hard and non-tender lump. |
1:40.1 | So how does it present? |
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