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Osgood schlatter

Osgood schlatter

According to my Injury classification system, Osgood schlatter deformity with no other associated condition, is considered Level 1 Injury, as per the main dysfunction being found at the first Alignment protective layer. Osgood Schlatter is a slight outgrowth bone deformity at the level of the tibia tuberosity where the quadriceps tendon attached. This condition commonly seen in teenagers that engage in sport activities due to the increase pulling forces of the quadriceps and the fact that the bone growths centres are not yet fully closed resulting in a misalignment of the tibial tuberosity. This condition can be significantly painful if inflammation settles in.

Assessment

The entire Lower extremity biomechanical chain must be evaluated as per the neurological and mechanical influences of the pelvis, hip, and foot.

Clinical evaluation of the knee and patella alignment as well as visualizing the pattern of compensation presence on the lower extremity. Visualise the level of the Osgood Schlatter deformity and the presence of inflammation

X-ray analyses

Anterior – Posterior (AP) knee view is essential to evaluate the degree of misalignment involved in this deformity.

Lateral x-ray lateral view is important to properly visualize the rotational misalignments of the femur that could contribute to this deformity

 

Treatment protocol

Specific adjustments to the knee joint and to the Osgood Schlatter deformity

Functional taping is used in the beginning of the treatment to hold the tibial tuberosity down.

Stretching and strengthening of specific hip and knee muscle groups

Depending on the level of inflammation, low level laser and PEMF may be used to enhance bone healing.

Depending on the level of deformity and chronicity, minimum 6 weeks of care is advisable to resolve this condition.

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