Hospital For Special Surgery: Ultrasound of the Month - Case 33

Clinical History •

10-year-old female presents with gradual onset of left knee pain

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Pain is localized to the tibial tubercle, where there is soft tissue swelling

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No recent trauma or significant medical history

Ultrasound of the Month – Case 33

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Ultrasound of the Month – Case 33

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Ultrasound of the Month – Case 33

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Ultrasound of the Month – Case 33

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Ultrasound of the Month – Case 33

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Ultrasound of the Month – Case 33

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Ultrasound of the Month – Case 33

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Diagnosis: •

Osgood- Schlatter Disease

Ultrasound of the Month – Case 33

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Osgood-Schlatter Disease •

Painful fragmentation of the tibial tubercle seen most commonly at ages 10-15

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Soft tissue swelling is generally present

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Also see abnormality of the insertional patellar tendon with tendinosis and abnormal hyperemia of the tendon and soft tissues

Ultrasound of the Month – Case 33

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Osgood Schlatter Disease •

3-5 times more common in males

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Bilateral in 25-30% of cases

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While the condition is often diagnosed by history and physical examination, ultrasound provides rapid confirmation and allows evaluation of the insertional patellar tendon

Ultrasound of the Month – Case 33

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