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Benign inflammation of the tibial tuberosity characterized by abnormal bone and cartilage formation in the tibia. Clinically, patients may experience pain, swelling, and tenderness of the knee and ankle.

Schlatter Disease.

Pain is caused by osteochondritis of the tibial tuberosity at the point of insertion of the tendon of the patella or by a small stress fracture.

Swelling and tenderness over the tibial tuberosity.

Pain over the tibial tuberosity that is exacerbated by running or jumping. Common pain syndrome in growing children and adolescents.

No specific precautions. Coagulation profile should be obtained if the patient is taking antiinflammatory medication.

Chronic administration of steroids must be considered. Peroperative coverage needed. The use of regional anesthesia might be advantageous if feasible.

Patient may be on nonsteroidal antiinflammatory drug therapy.

Keinboeck Disease: Acquired bone disorder affecting the wrist, particularly the lunate bone following an injury or inflammation. Recurrent pain and stiffness occur in conjunction with thickening, swelling, and tenderness. The range of motion in the wrist is most often limited.

Legg-Calvé-Perthes Disease: Rare disease affecting the hip joint. Abnormalities in bone growth early in life may result in permanent deformity of the hip joint several years later.

Rosenberg ZS, Kawelblum M, Cheung YY, et al: Osgood-Schlatter lesion: Fracture or tendonitis? Scintigraphic, CT and MR imaging features. Radiology 185:853, 1992.  [PubMed: 1438775]

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