Osgood schatler disease

1. Osgood schatler disease

2. Basic Anatomy

3. Osgood schatler disease
• Named after
• Robert osgood-American orthopaedician
• Karl schatler-Swiss professor

4. • OSD is basically defined as osteochondritis/AVN of tibial tubercle
usually occuring in adolescents.
• Etiopathogenesis-Trauma-Obliteration of blood supply-aseptic
necrosis-hyperemia-Capillary and phagocytic infiltrate-fragmentation-
new bone.

5. Clinical features
• Pain,swelling, tenderness
• Pain aggravated on climbing stairs.
• Kneeling and active extension of knee against resistance is painful.

6. Investigations
• 1)X-ray
• Initially normal
• Earliest finding-Flattening of weight bearing surface of medial femoral
condyle.
• Fragmentation of tibial tubercle.
• Crater surrounded by Halo

8. • MRI-Loss of Hoffas fat pad(Infrapatellar fat pad)
• Edema

9. Treatment
• Conservative
• Rest
• Avoidance of sports
• Immobilise in cylinder cast in full extensio. And gradually start
quadriceps and hamstring strengthening exercises.
• Pain medications-NSAIDS

10. Surgery
• If disability persists drill holes for revascularization to occur

11. • Thank you
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