Importance of clinical examination in diagnostics of Osgood-Schlatter Disease in boys playing soccer or basketball

Halilbasić, A; Avdić, Dijana; Kreso, Amir; Begovic, Begler; Jaganjac, Amila; Marić, M

doi:10.17532/jhsci.2012.59

Cited by 8 publications

(9 citation statements)

References 13 publications

(21 reference statements)

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“…If the strain caused by training by its quality and quantity exceeds the organism's threshold of tolerance, it will result in a bio negative reaction of the organism to structural insufficiency (e.g., anesthesia, apophysitis, entezitis, and stress fracture) (5,6). It is considered that the root causes of OSD are accelerated growth as well as excessive sports and recreational activity (1,3,7). In 2008, the National Council of Sports Medicine announced the results of the latest research, which showed that around 60 million children, age 6-18 years, participated in some form of organized sporting activity.…”

Section: Introductionmentioning

confidence: 99%

The Algorithm for overload syndrome prevention: Osgood-Schlatter's syndrome (OSD) as an overload syndrome caused by early inclusion of children in sports and excessive physical activity (sports and recreation)

Halilbasić¹,

Kreso²,

Klepic³

et al. 2019

JHSCI

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Introduction: Osgood-Schlatter’s syndrome (Osgood-Schlatter disease [OSD]) is caused by an accumulation of repeated microtraumas and is classified as a type of chronic injury called “overload syndrome“. It is considered that the root causes of OSD are accelerated growth as well as excessive sports and recreational activity. Currently, more than 50% of children of school age are involved in sports activities. In this study, 40 external risk factors were analyzed. Considering that frequent medical examinations, expensive rehabilitation, time-consuming sports activities, and school obligations result in major socio-economic and financial consequences, a need to work on a preventive program was recognized. The aim of this study was to determine external risk factors and to develop an algorithm for the prevention of injuries caused by overload syndrome through a detailed analysis of Osgood-Schlatter’s syndrome concerning aerobic and anaerobic sports (football, basketball, karate, and taekwondo). Methods: The research has been conducted on 200 patients who were previously diagnosed with Osgood-Schlatter’s syndrome. The participants were divided into two groups, each containing 100 patients, first group – aerobic sports (football and basketball) and the second group – anaerobic sports (karate and taekwondo). Personal information, anthropometric measurements, complete medical, and sports history were taken from the patients. A clinical examination was conducted by the researcher himself. This clinical study was prospective, comparative, analytical, and descriptive. The research was conducted in the Public Center for Sports Medicine of Canton Sarajevo. Software used for statistical data analysis was SPSS for Windows (version 20.0, SPSS Inc., Chicago, Illinois, USA) and Microsoft Excel (version 13 of Microsoft Corporation, Redmond, WA, USA). Results: Patients experienced the first symptoms of OSD at 4 years (football) and 6 years (taekwondo). About 60% of patients who trained in anaerobic sports and 38% of patients who trained in aerobic sports trained other sports more often as well. The research showed that a higher percentage of patients who trained anaerobic sports trained multiple sports at the same time (karate 88%, and taekwondo 82%) compared to patients who trained aerobic sports (football 68%, and basketball 76%). Patients who trained in anaerobic sports were also more likely to engage in recreational activities (58.3%) compared to patients who trained in aerobic sports (41.7%). On average, the number of hours per week which patients spent actively training (primary sport, additional sports activity, and recreational sport) was 17.2 h for basketball players, 16.8 h for taekwondo trainees, 16.7 h for caratists, and 15.7 h in case of football players. About 32% of football players, 24% of basketball players, 12% of karate trainees, and 18% of taekwondo trainees did not engage in additional sports or recreational activities. Only 36% of patients who trained in aerobic sports and 37% of patients who trained anaerobic sports respected the planned rest days, and in both groups, some subjects trained for 12 months. Conclusion: The research showed that patients who trained in anaerobic sports more frequently trained more than one sport at the same time and spent more hours doing recreational activities compared to patients who trained in aerobic sports. By analyzing weekly physical activity, it was concluded that the rest is limited. Future research aims to identify risk factors so that children, parents, and trainers can be educated to work on prevention through teamwork.

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Section: Introductionmentioning

confidence: 99%

The Algorithm for overload syndrome prevention: Osgood-Schlatter's syndrome (OSD) as an overload syndrome caused by early inclusion of children in sports and excessive physical activity (sports and recreation)

Halilbasić¹,

Kreso²,

Klepic³

et al. 2019

JHSCI

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“…Osgood-Schlatter'ssyndrome is the most common juvenile osteochondrosis. (3) Two findings can be highlighted from recent medical research, first young children are involved in organized sports activities more frequently than ever, and second the first symptoms of OSD have been reported in children at the age of 5.5 years (4). Enablers of this behavior are commonly parents themselves who believe that introducing sports activities at an early age creates positive living habits and improves the health of the child.…”

Section: Introductionmentioning

confidence: 99%

The Osgood-Schlatter's Syndrome (OSD) and Involvement of Children of Young Age in Sports

Halilbasić¹,

Kreso²,

Klepic³

et al. 2019

JHSCI

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Introduction: Two findings can be highlighted from recent medical research, first children of a young age are involved in organized sports activities more frequently than ever and second the first symptoms of Osgood-Schlatter disease (OSD) have been reported in children at the age of 5.5 years. The latest research has shown that children from ages 10 to 12 years have already been actively involved in sports activities for 5–7 years. In recent years, the practice of young children training to master sports has become a trend. Said exposes young children who are training intensively to various external risk factors such as social isolation, addiction, frequent injuries, and syndrome of overload. Enablers of this behavior are commonly parents and coaches who notice the child’s abilities stand out from those of other children in the group and find that such talent requires intensive sport-specific training. The purpose of this study was to determine the average age of the patients and the average age when the first symptoms of the disease appeared as well as to provide an analysis of the average duration of children being actively involved in sports activities before the first symptoms of OSD appeared. Methods: The research has been conducted on 200 patients who were previously diagnosed with Osgood-Schlatter’s syndrome. The participants were divided into two groups each containing 100 patients, first group –aerobic sports (football and basketball) and the second group –anaerobic sports (karate and taekwondo). Personal information, anthropometric measurements, complete medical, and sports history were taken from the patients. A clinical examination was conducted by the researcher himself. The study was prospective, clinical, comparative, analytical, and descriptive. The research was conducted in Public Center for Sports Medicine of Canton Sarajevo. Software used for statistical data analysis was SPSS for Windows (version 20.0, SPSS Inc., Chicago, Illinois, USA) and Microsoft Excel (version 13 of Microsoft Corporation, Redmond, WA, USA). Results: The average age when the patients started with intensive training was highest with basketball players (7.8 years) following with karate trainees (6.8 years). Basketball players had statistically the lowest duration of being actively involved in sports activities before the first symptoms of OSD appeared (5.4 years). No statistically significant difference in the average duration of training was discovered between the test groups. The average age when knee pain or swelling under the knee first appeared was at the age of 11.4 years with players of aerobic sports and 11.8 years with players of anaerobic sports. Furthermore, no statistically significant difference was found between test groups and subgroups. Before the first appearance of knee pain, the taekwondo patients had been in training the longest (4.7 years) and basketball players the least amount of time (3.4 years). Conclusion: By conducting retrospective analysis, it has been concluded that children had started training at the age of 3 or 4 years and had encountered the first symptoms of OSD at the ages of 4 years (football) and 6 years (taekwondo). Research showed that the early involvement of children in sports and their early specialization in sports are both external risk factors that have a dominant influence on OSD development.

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“…6 Sports where jumps (basketball, long jump), running (athletics), repeated contractions of knee extension apparatus (soccer, kick-box, dancing, skiing) are predominant, are considered to be important external risk-factor which could cause occurrence of Osgood-Schlatter disease. 7 The pathogenesis of this growth related condition is still debated. 2 The initial hypothesis described the repetitive traction of the patellar tendon on the distal insertion as the main area of secondary ossification centre fragmentation and transitory necrosis.…”

Section: Introductionmentioning

confidence: 99%

“…The main feature of the clinical examination is painful and enlarged tibial tubercle with the surrounding soft tissue swelling, and painful and restricted mobility. 7 Before definitive diagnosis of OSD, other possible diseases must be considered in differential diagnosis for pain in front of the knee like Osteochondritis dissecans (OCD), Tibial tubercle avulsion fracture and Sinding-Larson-Johansson syndrome (SLJS). 14 Laboratory test are not required for diagnosis of OSD unless there is suspected inflammatory or other disease aetiology.…”

Section: Introductionmentioning

confidence: 99%

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Osgood Schlatter Disease: A Rare Condition in Young Athletes - A Case Study

Parmar

2014

International Journal of Physiotherapy

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Background: Osgood Schlatter disease (OSD) now classified as an apophysitis of the anterior aspect of the tibial tuberosity (ATT) is a common condition in an active youth athletes and is associated with growth spurts. The symptoms of Osgood Schlatter Disease mimics different condition and thus it has to be diagnosed rationally. Clinical features include mild to severe and intermittent or continuous pain, tenderness, swelling and limp while walking. Radiological features include enlarged and fragmented tibial tubercle. Treatment of Protection, Rest, Ice, Compression and Elevation (PRICE) protocol is generally given in the initial stages followed by the complete rehabilitation of athlete into sports.Methods: I present the case of a patient, fifteen year old boy presenting the symptoms of pain, tenderness, swelling and limp while walking. He was referred by Orthopedician and he was on diclofenac medications. His detailed evaluation was carried out and was diagnosed on the basis of history, clinical findings and radiographic investigations as Osgood Schlatter Disease.Treatment: A three phase rehabilitation treatment plan was developed which was typically aimed at return of athlete as early as he can to the sports circuit. In Acute phase, Ice and rest was given; In Recovery phase, strengthening of surrounding musculature was given; In Maintenance phase, changes were made to athlete's playing style with the help of Coach. Conclusion:Initial assessment, PRICE Protocol and making changes in playing style of the athlete helps in treating Osgood Schlatter Disease. The causative factor has to be looked upon while treating this condition.

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Importance of clinical examination in diagnostics of Osgood-Schlatter Disease in boys playing soccer or basketball

Cited by 8 publications

References 13 publications

The Algorithm for overload syndrome prevention: Osgood-Schlatter's syndrome (OSD) as an overload syndrome caused by early inclusion of children in sports and excessive physical activity (sports and recreation)

The Algorithm for overload syndrome prevention: Osgood-Schlatter's syndrome (OSD) as an overload syndrome caused by early inclusion of children in sports and excessive physical activity (sports and recreation)

The Osgood-Schlatter's Syndrome (OSD) and Involvement of Children of Young Age in Sports

Osgood Schlatter Disease: A Rare Condition in Young Athletes - A Case Study

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