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Knee of a male with Osgood–Schlatter disease. Osgood–Schlatter disease causes pain in the front lower part of the knee. [9] This is usually at the ligament-bone junction of the patellar ligament and the tibial tuberosity. [10] The tibial tuberosity is a slight elevation of bone on the anterior and proximal portion of the tibia.
Tenderness in the tibial tuberosity can arise from Osgood-Schlatter disease or deep infrapatellar bursitis. A bony prominence on the tibial tuberosity can be the result of ongoing Osgood-Schlatter’s irritation in an adolescent with open growth plates, or what remains of Osgood-Schlatter’s in adults. [5]
The diagnosis of patellofemoral pain syndrome is made by ruling out patellar tendinitis, prepatellar bursitis, plica syndrome, Sinding-Larsen and Johansson syndrome, and Osgood–Schlatter disease. [23] Currently, there is not a gold standard assessment to diagnose PFPS. [20]
Non-articular: This group includes Sever's disease (of the calcaneus, or heel), and other conditions not completely characteristic of the osteochondroses, such as Osgood-Schlatter's disease (of the tibial tubercle) [10] and Sinding-Larsen-Johansson syndrome (proximal patellar tendon).
It occurs in both males and females. There are a number of locations in the body that may get apophysitis pain. Another common location is at the front of the knee which is known as apophysitis of the tibial tuberosity or Osgood–Schlatter disease.
Patella, its tendon and tibial tuberosity. The condition is usually seen in athletic individuals typically between 10 and 14 years of age. Following a strain or partial rupture of patellar ligament the patient develops a traction ‘tendinitis’ characterized by pain and point tenderness at the inferior (lower) pole of the patella associated with focal swelling.