Osgood-Schlatter Disease
A 13-year-old boy presents to the clinic with a 2-month history of pain and swelling just below his right knee. He plays soccer regularly and reports that the pain worsens after practice, especially with running, jumping, or kneeling. The pain initially started as mild discomfort but has progressively worsened. He denies any recent trauma to the knee.
On physical examination, there is tenderness and swelling over the tibial tuberosity of the right knee, with mild warmth to the touch. The pain is reproduced when the patient extends his knee against resistance. X-rays show slight irregularity and prominence of the tibial tubercle, consistent with Osgood-Schlatter disease, a condition often seen in adolescents during growth spurts.
The patient is diagnosed with Osgood-Schlatter disease. Treatment includes activity modification, rest, ice application after activities, and over-the-counter pain relief. He is advised to avoid high-impact activities for a few weeks and engage in stretching exercises to alleviate tension on the knee. Follow-up is scheduled to monitor his progress.
a). Basketball
b). Tennis
c). Soccer
d). Swimming
a). Just above the knee
b). Just below the knee, over the tibial tuberosity
c). On the inner side of the knee
d). Behind the knee
a). Walking
b). Sitting
c). Running and jumping
d). Lying down
a). Immediate surgery
b). Activity modification and rest
c). Knee bracing
d). Corticosteroid injections
