Incidence of Osgood-Schlatters?

[Laura01]

Anyone know what the incidence of Osgood-Sclatters disease in adolescent boys is?I know that its common but i feel like i'm seeing a lot of youngsters with the condition in sports. Just making sure i'm keeping my mind open. thanks

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[physio7]

If you are working with maily with adolescent boys who are sporty then you will see it reasonably often.
It is seen more often in children involved with running and jumping activities which put a much greater strain on the patella tendon. mainly affects boys aged 10 to 16 years old and will clear up when they stop growing.
Main problem with these patients is getting them to rest in order to allow healing and prevent constant flare ups.

[Laura01]

pretty much what I thought. I'm putting together some information for a notice board outside the boys changing room so that they are informed and some of the older kids can self manage as much as possible. So, I'm looking for other prevelant conditions in this group. Meanwhile, I don't intend to overload them with information and nuture a group of hyperchondriacs!

[wutti]

hi there. agree with phsio7. OS mostly occurs during growth spurt in adolescent boys, while they are still active in running, quick moving sports like BB ball, soccer etc. problem is the insertion of patella tendon at the tibial tuberosity. its an epiphysial area which under big strain might get inflammed and micro damaged. sometimes avulsion fractures occur, but thats more common in the AIIS where rectus fem. inserts.
self management would consist of rest in severe cases, good warm up and cool down including gentle stretches of quads, hams and calf muscles. also pelvic and core stability are important to minimize stress on knee hip and ankle joints.
had OS myself (long ago), had a brace for couple of weeks and rest for a while. problem improved with the age of 16-17, after main growing phase.
Cheers

[Laura01]

thanks for that, would you still encourage stretching in the acute imflammation phase?For severe cases I have been advising complete rest until the pain becomes within a tolerable range to train.
laura

[wutti]

hi, during inflamm. phase i wouldnt stretch, maybe only active movement in tolerable range. icing might be ok and also phlogenzyme to reduce inflammation. but the only real way to treat is rest, if to severe. make sure that the guys understand the cause of the problem, that might help a lot.
cheers