-
DE
Osgood-Schlatter syndrome is a common growth-related condition in children and adolescents, causing pain and swelling just below the kneecap.
Add as Preferred SourceOsgood-Schlatter syndrome is a common growth-related condition in children and adolescents, causing pain and swelling just below the kneecap.
Osgood-Schlatter syndrome (also called Osgood-Schlatter disease) is a painful inflammation of the tibial tuberosity – the bony prominence just below the kneecap where the patellar tendon attaches. It is one of the most common causes of knee pain in growing children and adolescents, particularly those who are physically active in sports.
During periods of rapid growth spurts in puberty, bones, tendons, and muscles are especially vulnerable to overuse. Repetitive pulling forces from activities such as jumping, running, and rapid direction changes cause the patellar tendon to repeatedly stress the still-developing growth plate at the top of the shinbone, leading to small tears and inflammation.
The hallmark symptom is a sharp or aching pain directly below the kneecap that worsens with physical activity and improves with rest. A visible and palpable bony bump may develop at the affected site over time.
Diagnosis is usually made clinically, based on the physical examination and the patient's history. Tenderness at the tibial tuberosity is the key finding. Imaging may be used to confirm the diagnosis or rule out other conditions.
In most cases, Osgood-Schlatter syndrome resolves on its own once bone growth is complete. Treatment focuses on managing symptoms and avoiding overloading the affected area.
Surgery is only rarely required – typically in cases where a painful bony fragment beneath the tendon persists after growth has completed.
The overall prognosis of Osgood-Schlatter syndrome is very good. The vast majority of those affected become pain-free once skeletal growth is complete. A permanent, usually painless bony prominence at the tibial tuberosity may remain as a harmless outcome. Only a very small proportion of patients continue to experience symptoms into adulthood.