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Introduction <p>Osgood-Schlatter disease is a frequent cause of atraumatic knee pain in adolescents. However, few studies have been reported in sub-Saharan Africa. We conducted this study to evaluate the epidemiology, diagnosis, management, and outcome of this disease in our institution.</p> Methods <p>We conducted an analytic retrospective cross-sectional study from January 2021 to June 2024 at Albert Royer National Children’s Hospital Center in Dakar. Parameters associated with persistent knee pain were identified using Fischer’s Exact Test, with <i>p</i> &lt; 0.05 considered as a statistically significant difference.</p> Results <p>Twenty patients (24 knees) were included, with 12 boys and 8 girls. The median age at diagnosis was 13&#xa0;years. Ten patients (50%) were regularly practicing sports. All patients attended our department for knee pain, with 8 (40%) after minimal trauma. Of the 24 affected knees, 10 (41.7%) were left. Pain over the ATT was noticed in all patients. On X-ray, stage 3 was encountered in 17/24 knees (70.8%). Non-operative treatment was used in all patients; all of them received analgesic treatment, and immobilization in 10 patients (41.6%). Patients were followed up for a mean duration of 14.9 ± 9.8&#xa0;months, with 19 knees (79.1%) free from pain. In the remaining 5 knees (20.9%), pain persistence was associated with analgesic treatment containing NSAID (<i>p</i> = 0.039) and non-respect of sports restriction (<i>p</i> = 0.006).</p> Conclusion <p>Osgood-Schlatter disease is encountered in our practice. Patients mainly present with delay, with a minimal trauma context and classical clinical findings. Indications of conservative treatment widely varied, with good outcomes. Use of NSAIDs and non-respect of sport arrest reduced the non-operative treatment efficiency.</p>

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Osgood-Schlatter disease in sub-Saharan African children: a single-center review

  • 期刊论文

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  • 发表日期：

    2025年6月2日

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  • Florent Tshibwid A Zeng,
  • Olivier Bouba Passalet Dezoumbet,
  • Youssouph Diedhiou,
  • Ibrahima Bocar Wellé,
  • Sara Tilali,
  • Doudou Gueye,
  • Papa Alassane Mbaye,
  • Ndèye Aby Ndoye,
  • Oumar Ndour,
  • Gabriel Ngom

摘要

Introduction

Osgood-Schlatter disease is a frequent cause of atraumatic knee pain in adolescents. However, few studies have been reported in sub-Saharan Africa. We conducted this study to evaluate the epidemiology, diagnosis, management, and outcome of this disease in our institution.

Methods

We conducted an analytic retrospective cross-sectional study from January 2021 to June 2024 at Albert Royer National Children’s Hospital Center in Dakar. Parameters associated with persistent knee pain were identified using Fischer’s Exact Test, with p < 0.05 considered as a statistically significant difference.

Results

Twenty patients (24 knees) were included, with 12 boys and 8 girls. The median age at diagnosis was 13 years. Ten patients (50%) were regularly practicing sports. All patients attended our department for knee pain, with 8 (40%) after minimal trauma. Of the 24 affected knees, 10 (41.7%) were left. Pain over the ATT was noticed in all patients. On X-ray, stage 3 was encountered in 17/24 knees (70.8%). Non-operative treatment was used in all patients; all of them received analgesic treatment, and immobilization in 10 patients (41.6%). Patients were followed up for a mean duration of 14.9 ± 9.8 months, with 19 knees (79.1%) free from pain. In the remaining 5 knees (20.9%), pain persistence was associated with analgesic treatment containing NSAID (p = 0.039) and non-respect of sports restriction (p = 0.006).

Conclusion

Osgood-Schlatter disease is encountered in our practice. Patients mainly present with delay, with a minimal trauma context and classical clinical findings. Indications of conservative treatment widely varied, with good outcomes. Use of NSAIDs and non-respect of sport arrest reduced the non-operative treatment efficiency.