Osgood-Schlatter disease

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Osgood-Schlatter disease is common during growth spurts and goes away when growth finishes, although the bump below the knee may stay. Recommended supportive care with ice and motrin after activity, with an emphasis on stretching and adjusting activity to pain. Return precautions given including swelling of the knee, limping, night pain, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Osgood-Schlatter disease
• Tibial tubercle tenderness; x-ray not needed given a typical exam
• Hip exam normal, with no night pain, swelling, or systemic symptoms
• Continue sports as pain allows, backing off when pain limits activity
• Ice after activity and motrin as needed
• Quadriceps and hamstring stretching
• Physical therapy referral
• Follow up as needed

Osgood-Schlatter disease is common during growth spurts and goes away when growth finishes, although the bump below the knee may stay. Recommended supportive care with ice and motrin after activity, with an emphasis on stretching and adjusting activity to pain. Return precautions given including swelling of the knee, limping, night pain, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Clinical diagnosis vs x-ray
Activity as pain allows; ice and motrin; stretching
Strap, pad, sleeve
PT; orthopedics

Return precautions in the template

swelling of the kneelimpingnight pain

Sources

Overuse Injuries, Overtraining, and Burnout in Young Athletes. Clinical Report. Pediatrics 2024;153(2):e2023065129. (replaces earlier report)

Few formal guidelines cover this topic, so the template also leans on expert opinion.