Talk:Osgood–Schlatter disease

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 2 September 2020 and 11 December 2020. Further details are available on the course page. Student editor(s): Conradbolz. Peer reviewers: Fdk321.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 05:52, 17 January 2022 (UTC)

Thanks

I have this with my knee, and this article has helped a lot. Thanks. —Preceding unsigned comment added by Tafantic (talk • contribs) 11:24, 29 July 2009 (UTC)

Treagle (talk) 15:20, 27 May 2010 (UTC) The last couple of edits seem to have removed some useful background information regarding the origins of the name for this syndrome, and also to have introduced some tagging / format errors. I don't have enough experience of either the subject, the referenced content or the tagging / format controls to attempt this without screwing up. Anyone else? I'll look back again when I get some time and flag the entry for changes.

Please, Rewrite for Ordinary Reader

After reading this article, I know exactly as much as before reading it. Can someone who understands the subject and knows how to make it comprehensible to ordinary folk please rewrite it? Many Thanks!!! Tapered (talk) 20:42, 16 April 2011 (UTC)

Not a rewrite, but added this to the first paragraph: "It is characterized by painful lumps just below the knee and is most often seen in young adolescents."Ortolan88 (talk) 22:41, 18 August 2012 (UTC)

Removed, but funny enough to memorialize in the talk page

This disease is also called a 3rd knee, a nob or "splaggies".Ortolan88 (talk) 22:32, 18 August 2012 (UTC)

Removed but not funny

I took out the synonym "knee cancer". There really is a cancer of the knee and O-S has nothing to do with it. This reference would be confusing. Furthermore, the confusion could be dangerous. See here, cancer mistaken for O-S [[1]]. Perhaps there should be a section discussing "growing pains" and possible misdiagnosis, but I don't believe "knee cancer" has ever been a synonym for O-S. Ortolan88 (talk) 18:14, 6 January 2013 (UTC)

flat feet, low arches

I was diagnosed with having this as a result of having low arches (flat feet, falling arches) and with using orthotic insoles the problem completely cleared up and I've been fine for 20 years. Surprised to find nothing about arches and orthotics on this article page. Mayumashu (talk) 00:45, 4 December 2015 (UTC)

Olympic cyclist Mick Bennett

Greetings Doc James. Could I ask you to have another look at the article on former Olympic cyclist Mick Bennett?

The article does provide what I would regard as a valid reference though I think you may simply have missed this. I won't change it unless you agree. Bennett is well known in the UK & he literally has a track record but I don't know if his case is a good medical example of the problem or not. Regards JRPG (talk) 11:22, 4 June 2016 (UTC)

In this edit [2] you did not add that ref. If you bring that ref over than it will be fine. Best Doc James (talk · contribs · email) 12:20, 5 June 2016 (UTC)

Shaq and Carl Lewis Had Osgood-Schlatter Disease

I read here that Shaq had Osgood-Schlatter [3]. I read or heard somewhere that Carl Lewis had it as teenager and required crutches for awhile because of it. maybe they should be added to the last section of the article as famous sufferers.socrtwo (talk) 18:33, 8 October 2016 (UTC)

Moved here

These while notable people have had no significant impact on the disease.

"==Society and culture== Paul Scholes is a sportsman who has recovered from this condition whilst Mick Bennett took up cycling as a means of treatment. The French tennis player, Gaël Monfils wears patella bands in an attempt to combat the condition. Liverpool F.C. captain Jordan Henderson is also said to require regular treatment for his condition. Singer Brian Kennedy recovered from the condition as a child." Doc James (talk · contribs · email) 16:44, 8 January 2018 (UTC)

Text changes

• The NIH source specifically says a few month. Mayo is not as good a source.

• Source says "Osgood-Schlatter disease is temporary and the pain usually goes away without treatment." This means "Pain typically resolves with time." not "Pain typically resolves with adequate rest."

• Added "frequent" rather than "excessive" Doc James (talk · contribs · email) 04:46, 20 January 2019 (UTC)

NIH source seems good enough IMO[4]--Ozzie10aaaa (talk) 11:10, 21 January 2019 (UTC)

(Addressing the NIH source): When I look at the "NIH" source, it seems to be talking about general knee problems, which appears to be a bit vague. There are several knee problems that are being discussed at https://www.niams.nih.gov/health-topics/knee-problems#tab-symptoms, where it doesn't specifically talk about Osgood-Schlatter, except for the small paragraph here:

"Osgood-Schlatter disease is caused by stress or tension on part of the growth area of the upper shin bone. It can happen if your tendon tears away from the bone, taking a piece of bone with it. Young people who run and jump while playing sports can have this type of injury. The symptoms are usually:

• Pain below the knee that usually worsens with activity and is relieved by rest.
• A bony bump below the knee cap that is painful when pressed."

There are better sources, IMO, then the NIH source, such as https://www.ncbi.nlm.nih.gov/books/NBK441995/ and https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063719/, which I'm mentioning because they conflict with the NIH source for the age difference and recovery: "Symptoms usually resolve after the closure of the physis without any treatment, but symptoms may remain in some cases. In almost ten percent of patients, the bone fragments do not fuse, and these patients complain of pain in front of the knee, even after slight physical activity but especially after kneeling" and "OSD is usually a self-limiting disease, and symptoms may resolve without any particular treatment or with simple conservative treatment, like activity restriction or immobilization in a cast for three to six weeks." (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063719/) - This definitely contradicts the "few months" duration as stated by the NIH source and requires more reiteration. I also want to point out that both of these medical journals more up-to-date than the NIH source listed. --Atcovi (Talk - Contribs) 16:32, 20 January 2019 (UTC)

The NIH source is bad in this context indeed because it talks about knee problems in general. Statpearls I'm not sure how to classify it, see relevant archived discussion on WT:MED. It is usable but not a good source per se, probably not for specifics? The second source Atcovi links to, the review in Cureus is good and usable, and indeed specifies rest ("immobilization") as opposed to "resolves with time" as treatment. Would base content in this article more on the review than the unspecific NIH source imo. --Treetear (talk) 00:37, 21 January 2019 (UTC)

With regards to the time aspect, another source PMID 28593576 says under Treatment: "The treatment of OSD is guided by the severity of the symptoms. OSD is a self-limited disease and generally ceases with skeletal maturity. Improvement can be gradual. The condition may recur for 12–18 months before complete resolution at skeletal maturity." without specifying more than that (e.g. rest or active, or making treatment suggestions from what I can gather). "May recur" is unspecific and this source might not be of use in this particular matter. --Treetear (talk) 00:45, 21 January 2019 (UTC)

The NIH source DOES speak specifically about OSD but one needs to look at the archived version that was used as a source https://web.archive.org/web/20170513055124/https://www.niams.nih.gov/Health_Info/Knee_Problems/ Unfortunately the NIH loves shuffling around their articles.

The source mentioned by User:Treetear says in conclusion "Osgood-Schlatter syndrome runs a self-limiting course, and usually complete recovery is expected with closure of the tibial growth plate" so clarified that it goes away typically once growth is done / with time. Doc James (talk · contribs · email) 19:11, 21 January 2019 (UTC)

Added back the weeks to months based on the Cureus you mention above User:Atcovi.

Also added a bit about casting and rest based on the same source. Doc James (talk · contribs · email) 19:23, 21 January 2019 (UTC)

Thank you for the changes. I feel though more updating is necessary for this article. I will see how much I can contribute properly to this article. Atcovi (Talk - Contribs) 19:51, 21 January 2019 (UTC)

Sure sounds good. Doc James (talk · contribs · email) 04:11, 22 January 2019 (UTC)

Some recent potential medrs

PMID 35740763 , PMID 35742062 , PMID 31714260 , PMID 28593576

86.180.70.90 (talk) 21:36, 14 February 2024 (UTC)