Hi

I work with 16/17 year old junior soldiers and in our department we frequently see Osgood Shlatters. Like the previous auther said,it is a self-limiting disorder and the only treatment that works is rest from aggravating activity. In our enviroment, 90% of the time, Osgood Shlatters results in a medical discharge from the Army, they are allowed to rejoin after about a year or two, once their symptoms have settled. It is essentially caused by abnormal pull of the Quads via the Patella tendon on the enthesis of the Tibial Tuberosity. The apophysis of the tibial tuberosity can come away from the proximal tibia itself.

Osgood Shlatters is a progressive condition and therefore patients should be progressively returned to normal activities i.e. running and sport, once their pain has settled. Remember some boys grow untill they are 18/20. If they still actively growing Osgood Shlatters might be symptomatic untill their bone structure are more mature and robust.

Good luck with the lit review.
Annelize