What is the prognosis of Osgood-Schlatter disease (OSD)?

Updated: Jan 08, 2019
  • Author: James R Gregory, MD; Chief Editor: Craig C Young, MD  more...
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Answer

The prognosis in Osgood-Schlatter disease (OSD) is excellent. OSD is usually self-limiting and resolves by the time the patient is aged 18 years, when the tibial tubercle apophysis ossifies. In approximately 10% of patients, however, the symptoms continue unabated into adulthood despite all conservative measures. [9] This may be from residual enlargement of the tuberosity or from ossicle formation in the patellar tendon.

The likelihood for long-term sequelae increases in severe cases, in cases in which treatment is not sought, or in cases in which the patient demonstrates poor compliance with the physician's recommendations.

In the study by Krause et al, 90% of patients treated with conservative care were relieved of all of their symptoms approximately 1 year following symptom onset. [3]

In some cases, however, discomfort may persist for 2-3 years until the tibial growth plate closes.


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