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Definition: An Osgood-Schlatter lesion involves pain and swelling in the small bump of bone on the front of the tibia (shinbone), right below the kneecap. It occurs in children and adolescents. The problem affects the area where bone growth occurs. Too much stress on the growing bone causes the pain and swelling. The pain often worsens with activity and eases with rest. Fortunately, the condition is not serious. It is usually only temporary. –By eorthopod.com
Alternative Names: Osteochondrosis –By MedlinePlus
Causes, Incidence, and Rick factors: During activities that involve a lot of running, jumping and bending — such as soccer, basketball, volleyball and ballet — your child's thigh muscles (quadriceps) pull on the tendon that connects the kneecap to the shinbone. This repeated stress can cause the tendon to pull away from the shinbone a bit, resulting in the pain and swelling. –By MayoClinic
The condition is the most frequent cause of knee pain in children between the ages of 10 and 15. The problem used to happen mostly in boys. But with more girls playing sports, boys and girls are now affected equally. Because girls' skeletons begin to mature earlier than boys, girls tend to have this condition when they are one to two years younger than boys. Kids who play sports have this condition 20 percent more often than nonathletes. –By eorthopod
Age: Osgood-Schlatter disease occurs during puberty's growth spurts. Sex: More common in boys (13-14). Girls (11-12). Sports: The condition happens most often with sports that involve a lot of running, jumping and swift changes in direction. –By MayoClinic
Severity Levels: The severity of Osgood–Schlatter disease in the epiphyseal stage on radiographic findings. (A) Grade I, upheaval or slight elevation of the tibial tuberosity; (B) grade II, radiolucency of the tibial tuberosity; (C) grade III, fragmentation of the tibial tuberosity. –By Sports Med
Signs and Symptoms: The main symptom is painful swelling over a bump on the lower leg bone (shinbone). Symptoms occur on one or both legs. You may have leg pain or knee pain, which gets worse with running, jumping, and climbing stairs. The area is tender to pressure, and swelling ranges from mild to very severe. –By Medline Plus
Physical and Diagnostic test: During the physical exam, your doctor will check your child's knee for tenderness, swelling, pain and redness. X-rays may be taken to look at the bones of the knee and leg and to more closely examine the area where the kneecap tendon attaches to the shinbone. –By MayoClinic

Treatment: Rest and decreasing activity when your child has symptoms, Putting ice over the painful area two to four times a day, and after activities, Ibuprofen or other nonsteroidal anti-inflammatory drugs (NSAIDs), or acetaminophen (Tylenol). In the rare case where symptoms do not go away, a cast or brace may be used to support the leg until it heals. This typically takes 6 - 8 weeks. Crutches may be used for walking to keep weight off the painful leg. Rarely, surgery may be needed –By Medline Plus
Prognosis: Most cases get better on their own after a few weeks or months. Most cases eventually go away once the child finished growing. –By Medline Plus
After surgery, daily activities can be resumed gradually. The knee should be propped up routinely during the day to help reduce swelling and throbbing. Medicines should be taken exactly as prescribed by the surgeon.The surgeon may recommend using crutches or a cane for awhile. Vigorous activities and exercise should be avoided for six weeks after surgery. Athletes should not take part in high-level sports for two to three months. Some surgeons have their patients attend physical therapy after surgery. –By eOrthopod
Complications: Complications of Osgood-Schlatter disease are uncommon. They may include chronic pain or localized swelling. Even after symptoms have resolved, a bony lump may remain on the shinbone in the area of the swelling. This lump may persist to some degree throughout your child's life, but it doesn't usually interfere with knee function. –By MayoClinic
Preventions: The small injuries that may cause this disorder are usually unnoticed, so prevention may not be possible. Regular stretching, both before and after exercise and athletics, can help prevent injury. –By Medline Plus

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