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The doctor applying pressure to the tibial tubercle, which should be tender or painful for a patent with Osgood-Schlatter disease. In addition, the doctor may also ask your child to walk, run, jump, or kneel to see if the movements bring on painful symptoms. Your doctor may also order an X-ray image of your knee to help confirm the diagnosis or rule out any other problems
In almost every case, surgery is not needed. This is because the cartilage growth plate eventually stops its growth and fills in with bone when the child stops growing. The bone is stronger than cartilage and less prone to irritation. The pain and swelling go away because there is no new growth plate to be injured. Pain linked to Osgood-Schlatter disease almost always ends when an adolescent stops growing.
In rare cases, the pain persists after the bones have stopped growing. Surgery is recommended only if there are bone fragments that did not heal. Surgery is never done on a growing athlete, since the growth plate can be damaged.
https://orthoinfo.aaos.org/en/diseases--conditions/osgood-schlatter-disease-knee-pain/
https://www.childrenshospital.org/conditions/osgood-schlatter-disease
https://www.hopkinsmedicine.org/health/conditions-and-diseases/osgoodschlatter-disease
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222654/
https://kidshealth.org/en/parents/osgood.html#:~:text=Long%2Dterm%20effects%20of%20OSD,have%20some%20pain%20with%20kneeling.
https://www.labxchange.org/library/pathway/lx-pathway:cfbefbe9-fb91-4574-a49a-bfd3be9efb11/items/lx-pb:cfbefbe9-fb91-4574-a49a-bfd3be9efb11:html:8369aaa3
http://www.peak-physicaltherapy.com/Injury-Care/Inflammation/a~1227/article.html#:~:text=Why%20does%20inflammation%20occur%20after,this%20flood%20of%20infection%20fighters.