Osgood-Schlatter: What’s in a Name?

One of the most common complaints of knee pain among early adolescent players, those 11-14 years of age, is the Osgood-Schlatter (O-S) lesion. It is more common among boys and is usually associated with a rapid growth spurt during puberty. It may affect one or both knees, and athletes usually outgrow it by the time they reach middle or late adolescence (16-18 years old.)

O-S is usually associated with pain, swelling, and point tenderness just below the knee over a bony prominence known as the tibial tuberosity. Pain is most acute during seasonal play, and many players experience extreme pain if contact is made with the O-S site.

Since O-S is a relatively short-lived condition, it can be easily managed over time. Depending on the athlete’s pain level, ice should be used routinely to control pain and swelling. This is especially important immediately following soccer events for 15 minutes. Ibuprofen or Tylenol is a good adjunct to managing pain in some players. Another recommendation is the use of knee pads, either custom-fitted or a generic brand, to lessen the pain associated with contact. Unfortunately, very few athletes follow this recommendation.

Finally, it is important to remember that IF IT HURTS TOO MUCH TO PLAY, THEN DON’T PLAY! Common sense must be a priority.