Apophysitis, Osgood-Schlatter Disease
Conditions
Brief summary
Osgood Schlatter is a common knee condition, affecting approximately 10% of adolescents. OSD is thought to be a growth related pain conditon, and thus resolve after maturation. Despite this, there a lack of prospective data investigating whether this is in fact the case.
Detailed description
This is a prospective cohort study of 51 adolescents (aged 10-14 at baseline) with Osgood schlatter. Participants are followed for two years.
Interventions
Activity modification, exercises and gradual return to sport
Sponsors
Study design
Eligibility
Inclusion criteria
* 10-14 years of age * Pain at tibial tuberosity during two or more of the following activities: Sitting with a bent knee, squatting, running, jumping or stair ambulation * Pain during palpation of tibial tuberosity * Knee pain for 6 weeks or more
Exclusion criteria
* Other knee conditions that may manifest as anterior knee pain (Patellofemoral pain, iliotibial band syndrome, sinding-larson-johanson disease). * Previous surgery * Pain from the hip or back that interferes with activities of daily living. * Habitual patella luxations * Clinical suspicion of meniscal lesion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Current knee pain | 24 months | Participants self-report if they still have knee pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 24 months | Worst pain in the previous week measured on a visual analogue scale (VAS) from 'no pain' to 'worst imaginable pain' |
| Pain frequency | 24 months | Frequency of knee pain divided into (almost daily, several times per week, weekly, monthly, rarely, never) |
| Duration of being pain-free | 24 months | Those who no longer have knee pain will be asked how long since their knee pain resoved |
| Medical attention | 24 months | Participants will be asked to report if they sought medical attention outside of the intervention |
| Use of pain killers | 24months | Participants will be asked if they use painkillers to manage their knee pain (y/n). If yes, they will be asked how often. |
| Sports participation | 24 months | Participants will report if they participate in sport. If yes how often and how much/week. They will also report if they have reduced sports participation due to knee pain. |
| Health Related quality of life | 24 months | Health related quality of life assessed by EQ 5D 3L Y (EuroQol, 5 dimensions, 3 levels for youth). Minimum 0, maximum 1, with higher values indicating higher quality of life. |
| Sleep | 24 months | Participants will be asked if they find it hard to sleep because of their knee pain (not at all, some nights, most nights). |
| knee injury and osteoarthritis outcomes score (KOOS) sport and activity subscale | 24 months | knee injury and osteoarthritis outcomes score (KOOS) subscale sport and activity. Minimum 0 points, maximum 100points, with 100 points being the best possible score. |
Countries
Denmark