Current Management Strategies in Osgood Schlatter: A cross-sectional mixed method study

Kristian Damgaard Lyng*, Michael Skovdal Rathleff, Benjamin John Floyd Dean, Stefan Kluzek, Sinead Holden

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

6 Citations (Scopus)
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Background: Osgood Schlatter disease (OSD) is the most common knee condition in adolescent athletes aged 9-16. Without evidence to guide clinical practice, it is unclear how OSD is managed. The aim of this study was to investigate how international healthcare professionals (general practitioners, physiotherapists, rheumatologists, sports and exercise medicine doctors, and orthopedic surgeons) diagnose and manage OSD. Methods: This mixed-method study used a convergent parallel design. A quantitative questionnaire and semi-structured interview covered prognosis, diagnosis, treatment, and return to play of adolescents with OSD. For quantitative data, those who reported likely/very likely considered “for” and unlikely/very unlikely “against” (for specific diagnostic/management strategy). Qualitative data analysis used a phenomenological approach. Results: Two hundred and fifty-one healthcare professionals completed the questionnaire. The most common diagnostic criterion was pain at the tibial tuberosity (97% for). The most common treatments were patient education (99%) and exercise therapy (92%). Other treatment options were more heterogeneous, for example, pain medication (31% for and 34% against). Managing training load (97%), pain intensity (87%), and psychological factors (86%) were considered the most important factors influencing the return to activities. Several themes emerged from the interviews (on N = 20) including imaging, pain management, family, and psychosocial factors influencing prognosis. Conclusion: Diagnosis criteria of OSD were relatively well agreed upon, whereas the triangulation of qualitative and quantitative data showed heterogeneity of treatments. Psychosocial factors including family were highlighted as critical in the management of OSD.

Original languageEnglish
JournalScandinavian Journal of Medicine & Science in Sports
Issue number10
Pages (from-to)1985-1991
Number of pages7
Publication statusPublished - 1 Oct 2020

Bibliographical note

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.


  • adolescents
  • apophysitis
  • musculoskeletal pain
  • osgood schlatter disease
  • osteochondrosis


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