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CD-ROM Today (UK) (Spanish) 15
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01008.txt
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1994-01-17
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$Unique_ID{BRK01008}
$Pretitle{}
$Title{The Causes of Osgood-Schlatter Disease}
$Subject{Osgood Schlatter teenage sports Musculoskeletal System Connective
Tissue tissues swell swelling swollen knees knee cap patellar ligament
ligaments tibia tibias leg legs patella patellas caps}
$Volume{M-17}
$Log{
Muscles and Tendons of the Knee*0006201.scf}
Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
The Causes of Osgood-Schlatter Disease
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QUESTION: My 12 year old daughter, with high hopes of an athletic career in
tennis, is suffering from a swollen knee that was diagnosed as Osgood
Schlatter Disease. As very concerned parents we have looked up the condition
in a medical book at our local public library, and are horrified with what we
learned. Yet our wonderful doctor keeps telling us not to worry, it will all
come out fine. Can you help us with an explanation of the causes, and the
proper treatment of this condition?
------------------------------------------------------------------------------
ANSWER: The history of this answer to you took an interesting turn, for when
checking my own sources to refresh my memory I found that my material spoke in
optimistic terms about the outcome of Osgood Schlatter, a disease that strikes
the knees of young teen age boys and girls. I was all set to provide you with
the reassurance that your doctor was correct when my studies took me to our
own small public library, and I decided to try to duplicate your experience.
Naturally the books available were all a bit dated, and when I read the
explanations offered, I quickly understood your anxiety. The description of
the cause was "avascular necrosis of the ossification center of the tibial
tuberosity" which translates into "the death of the bone producing center of
the tibial bump due to loss of circulation". While that may have been the
accepted cause when Drs. Osgood and Schlatter first described the condition in
1903, it is a theory that no longer is generally accepted. Instead it is
believed that the condition of a swelling, and very tender and painful area
over the bump on the shin bone just below the knee, is most probably due to
the strains and stresses that may result from active participation in athletic
competition. While once a condition seen primarily in boys, the gals are now
rapidly catching up as their involvement in sports increases. The good news
is that Osgood Schlatter is considered a benign disorder that in mild cases
can disappear by itself. Treatment consists of pain medication as needed and
restriction of physical activities, particularly those that require frequent
deep knee bending. Braces on the knee can be used, or even a cast to
immobilize the knee if symptoms continue. A two to four month period of rest,
followed by reconditioning and strengthening exercises, will soon have your
young athlete back on her feet and playing her favorite sport.
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The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician. Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.