Öz
Osgood-Schlatter Hastalığı (OSH), büyüme döneminde çocuklarda ve ergenlerde diz ağrısının yaygın nedenlerinden biri olup, özellikle sporla uğraşan bireylerde daha sık görülmektedir. Osgood-Schlatter tipik olarak tekrarlayan diz ekstansiyonu ve hızlı büyüme sürecine bağlı olarak gelişmekte ve tibial tüberkülün sekonder ossifikasyon merkezinde mikrotravma ve apofizyal avülsiyonlara yol açmaktadır. Bu olgu sunumu, jimnastikle ilgilenen ve sol diz ağrısı şikayeti ile başvuran 12 yaşındaki bir kız çocuğunu ele almaktadır. Fizik muayenede her iki dizde de patolojik bulgu saptanmamış olsa da radyografik değerlendirmede tibial tüberkülde düzensizlikler ve mikroavülsiyon bulguları tespit edilmiştir. Başlangıç tedavisi olarak aktivite kısıtlaması, non-steroid antiinflamatuvar ilaç (NSAİİ) kullanımı ve destekleyici bandaj uygulaması önerilmiştir. İki aylık takip sürecinde ağrıda belirgin azalma gözlenmiş, ancak yoğun egzersiz dönemlerinde ağrının tekrar ettiği bildirilmiştir. Osgood-Schlatter tedavisi genellikle konservatif olup, ağrı kontrolü ve kas esnekliğini artırmaya yönelik egzersizleri içermektedir. Hastalık çoğu zaman kendiliğinden düzelmekle birlikte, bazı olgularda semptomlar yetişkinliğe kadar sürebilmektedir. Bu olgu, birinci basamak sağlık hizmetlerinde OSH'nin erken tanısının ve konservatif tedavi yaklaşımlarının önemini vurgulamaktadır. Aile hekimleri, çocuk ve ergenlerde görülen diz ağrısının ayırıcı tanısında OSH'yi göz önünde bulundurmalı ve gerektiğinde hastaları multidisipliner değerlendirme için yönlendirmelidir.
Anahtar Kelimeler
: Birinci Basamak Sağlık Hizmetleri Osgood-Schlatter Hastalığı Aile Hekimliği
Kaynakça
- 1. Kireker Koylu O, Koylu A, Baltacı D, Sayin S, Kara IH. Osgood-Schlatter Disease Case Report. Konuralp Medical Journal. 2010;2(3):16-8.
- 2. Corbi F, Matas S, Álvarez-Herms J, Sitko S, Baiget E, Reverter-Masia J, López-Laval I. Osgood-Schlatter disease: appearance, diagnosis and treatment: a narrative review. Healthcare (Basel). 2022;10(6):1011.
- 3. Midtiby SL, Wedderkopp N, Larsen RT, Carlsen AF, Mavridis D, Shrier I. Effectiveness of interventions for treating apophysitis in children and adolescents: protocol for a systematic review and network meta-analysis. Chiropractic & Manual Therapies. 2018;26:41.
- 4. Indiran V, Jagannathan D. Osgood-Schlatter Disease. New England Journal of Medicine. 2018;378(11).
- 5. Nkaoui M, El Alouani EM. Osgood-Schlatter Disease: Risk of a Disease Deemed Banal. Pan African Medical Journal. 2017;28:56.
- 6. Seyfettinoglu F, Kose O, Ogur HU, Tuhanioğlu U, Cicek H, Acar B. Is There a Relationship Between Patellofemoral Alignment and Osgood-Schlatter Disease? A Case-Control Study. Journal of Knee Surgery. 2020;33(1):67-72.
- 7. Smith JM, Varacallo M. Osgood-Schlatter Disease. [Updated 2023 Aug 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441995/.
- 8. Watanabe H, Fujii M, Yoshimoto M, Abe H, Toda N, Higashiyama R, et al. Pathogenic Factors Associated with Osgood-Schlatter Disease in Adolescent Male Soccer Players: A Prospective Cohort Study. Orthopaedic Journal of Sports Medicine. 2018;6(8):2325967118792192.
- 9. Mohr B, Mabrouk A, Baldea JD. Osteochondritis Dissecans of the Knee. [Updated 2024 Jan 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538194/PubMed+3
- 10. Rathleff MS, Winiarski L, Krommes K, Graven-Nielsen T, Hölmich P, Olesen JL, et al. Pain, Sports Participation, and Physical Function in Adolescents with Patellofemoral Pain and Osgood-Schlatter Disease: A Matched Cross-sectional Study. Journal of Orthopaedic & Sports Physical Therapy. 2020;50(3):149-57.
- 11. Corbi F, Matas S, Álvarez-Herms J, Sitko S, Baiget E, Reverter-Masia J, et al. Osgood-Schlatter Disease: Appearance, Diagnosis, and Treatment: A Narrative Review. Healthcare (Basel). 2022;10(6).
- 12. Circi E, Atalay Y, Beyzadeoglu T. Treatment of Osgood-Schlatter Disease: Review of the Literature. Musculoskeletal Surgery. 2017;101(3):195-200.
- 13. van Leeuwen GJ, de Schepper EI, Rathleff MS, Bindels PJ, Bierma-Zeinstra SM, van Middelkoop M. Incidence and Management of Osgood-Schlatter Disease in General Practice: Retrospective Cohort Study. British Journal of General Practice. 2022;72(717): e301-e306.
Öz
Osgood-Schlatter Disease (OSD) is one of the common causes of knee pain in children and adolescents during the growth period and is more prevalent among those involved in sports. OSD typically develops due to repeated knee extension and the rapid growth process, leading to microtrauma and apophyseal avulsions at the secondary ossification center of the tibial tubercle. This case report examines a 12-year-old girl engaged in gymnastics who presented with complaints of left knee pain. Although physical examination revealed no pathological findings in either knee, radiographic evaluations showed irregularities and micro avulsion findings in the tibial tubercle. Initial treatment included activity restriction, NSAID usage, and supportive bandaging. After a two-month follow-up, a significant reduction in pain was observed, though pain recurred during periods of intense exercise. Treatment for OSD is generally conservative, focusing on pain control and exercises that enhance muscle flexibility. While the disease often resolves spontaneously, symptoms may persist into adulthood in some cases. This case highlights the importance of early diagnosis and conservative treatment approaches for OSD in primary healthcare settings. Family physicians should consider OSD in the differential diagnosis of knee pain in children and adolescents, and refer patients for multidisciplinary evaluation when necessary.
Anahtar Kelimeler
Primary Health Care Osgood- Schlatter Disease General Practice
Kaynakça
- 1. Kireker Koylu O, Koylu A, Baltacı D, Sayin S, Kara IH. Osgood-Schlatter Disease Case Report. Konuralp Medical Journal. 2010;2(3):16-8.
- 2. Corbi F, Matas S, Álvarez-Herms J, Sitko S, Baiget E, Reverter-Masia J, López-Laval I. Osgood-Schlatter disease: appearance, diagnosis and treatment: a narrative review. Healthcare (Basel). 2022;10(6):1011.
- 3. Midtiby SL, Wedderkopp N, Larsen RT, Carlsen AF, Mavridis D, Shrier I. Effectiveness of interventions for treating apophysitis in children and adolescents: protocol for a systematic review and network meta-analysis. Chiropractic & Manual Therapies. 2018;26:41.
- 4. Indiran V, Jagannathan D. Osgood-Schlatter Disease. New England Journal of Medicine. 2018;378(11).
- 5. Nkaoui M, El Alouani EM. Osgood-Schlatter Disease: Risk of a Disease Deemed Banal. Pan African Medical Journal. 2017;28:56.
- 6. Seyfettinoglu F, Kose O, Ogur HU, Tuhanioğlu U, Cicek H, Acar B. Is There a Relationship Between Patellofemoral Alignment and Osgood-Schlatter Disease? A Case-Control Study. Journal of Knee Surgery. 2020;33(1):67-72.
- 7. Smith JM, Varacallo M. Osgood-Schlatter Disease. [Updated 2023 Aug 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441995/.
- 8. Watanabe H, Fujii M, Yoshimoto M, Abe H, Toda N, Higashiyama R, et al. Pathogenic Factors Associated with Osgood-Schlatter Disease in Adolescent Male Soccer Players: A Prospective Cohort Study. Orthopaedic Journal of Sports Medicine. 2018;6(8):2325967118792192.
- 9. Mohr B, Mabrouk A, Baldea JD. Osteochondritis Dissecans of the Knee. [Updated 2024 Jan 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538194/PubMed+3
- 10. Rathleff MS, Winiarski L, Krommes K, Graven-Nielsen T, Hölmich P, Olesen JL, et al. Pain, Sports Participation, and Physical Function in Adolescents with Patellofemoral Pain and Osgood-Schlatter Disease: A Matched Cross-sectional Study. Journal of Orthopaedic & Sports Physical Therapy. 2020;50(3):149-57.
- 11. Corbi F, Matas S, Álvarez-Herms J, Sitko S, Baiget E, Reverter-Masia J, et al. Osgood-Schlatter Disease: Appearance, Diagnosis, and Treatment: A Narrative Review. Healthcare (Basel). 2022;10(6).
- 12. Circi E, Atalay Y, Beyzadeoglu T. Treatment of Osgood-Schlatter Disease: Review of the Literature. Musculoskeletal Surgery. 2017;101(3):195-200.
- 13. van Leeuwen GJ, de Schepper EI, Rathleff MS, Bindels PJ, Bierma-Zeinstra SM, van Middelkoop M. Incidence and Management of Osgood-Schlatter Disease in General Practice: Retrospective Cohort Study. British Journal of General Practice. 2022;72(717): e301-e306.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Hizmetleri ve Sistemleri (Diğer) |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 17 Haziran 2025 |
| Gönderilme Tarihi | 3 Kasım 2024 |
| Kabul Tarihi | 13 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 17 Sayı: 2 |
Kaynak Göster
