Osgood-Schlatter and Overuse Injury – Board-Style Questions

What this deck covers

Osgood-Schlatter disease and overuse injury in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. A bump below the kneecap
2. Both knees at once
3. Pain that wakes him
4. Sore at the lower edge
5. Worse on the stairs
6. It catches and locks
7. Whether he should stop
8. Tight at the front of the thigh
9. Something worn on the leg
10. When it will finally go
11. Still sore at twenty
12. He could not stand up
13. Why at this age
14. Sore wrists in the gym
15. A runner with a sore shin
16. Three things that go together
17. How much is too much
18. What the lump will do

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Infection within the upper end of the shin bone, Nothing unusual, because both sides are involved in many children, Tenderness felt over the bony point at the front of the upper shin, Wear of the surface behind the kneecap from repeated use, Pain arising from the joint between the kneecap and the thigh bone, Traction at the point where the knee tendon joins the upper shin, Stop sport permanently, since the growing bone will be damaged, An operation to release the tendon from the bony point, It spreads the pull of the tendon away from the tender point, It continues throughout life and limits sport in adulthood, A tear of the tendon that happened at the time of an injury, The ligament inside the knee has torn during the landing, Bone lengthens faster than muscle, raising the pull on that point, A ganglion arising from the joint at the back of the wrist.

Clinical pearls from this deck

• Tender tuberosity, normal joint: traction apophysitis.
• Both knees affected in many children, and that reassures.
• Night pain, rest pain and weight loss are never overuse.
• Tender at the lower pole of the kneecap, not the shin.
• Diffuse front-of-knee pain with no tender point.
• Locking and swelling mean a problem inside the joint.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all MSK and orthopaedics case decks · pediatric reference values.