Posted by: Indonesian Children | September 11, 2009


In a child or skeletally immature adolescent, tendons insert into bone through a specialised cartilaginous tissue called apophysis. This tissue ossifies and turns into bone when skeletal maturity is reached in the adolescence.

Osgood-Sclatter’s Disease


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During growth spurt apophyses are vulnerable to traction injury (micr

o-avulsion). Clinically this may manifest itself as painful or prominent apophyses. Positive family history, obesity and strenuous activity are some of the predisposing factors.

The most frequent site for apophysitis is the tibial tubercle, which is also referred as Osgood-Schlatter’s disease. Other common sites are the heel (Sever’s disease) and medial aspect of the foot (navicular apophysitis). Rarely the hip may also be affected.

Treatment for this condition is generally symptomatic. During the active phase, reduction in the level of activity and mild painkillers are recommended. During remission normal activities could be commenced with caution. Rarely for severe symptoms shoe inserts or casting could be tried.

Prognosis for most cases of apophysitis is excellent in the long-term. This condition spontaneously heals when skeletal growth ceases in the late adolescence. Unfortunately during the active phase of the disease which may last a number of years, intermittent symptoms are expected. In an active sporting child this could become a great nuisance and necessitate reduction in level of activity until resolution of symptoms occurs in late teens.


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