Osgood-Schlatter Disease Differential Diagnoses

Updated: Feb 13, 2017
  • Author: James R Gregory, MD; Chief Editor: Craig C Young, MD  more...
  • Print

Diagnostic Considerations

The most significant pitfall is failing to diagnose another condition that could result in long-term permanent damage (eg, tumor, osteochondritis dissecans). Most other conditions have a more concerning clinical examination or history. Therefore, always obtain radiographs and consider the possibility of a referred pain syndrome from the hip.

Conditions to be considered in the differential diagnosis of Osgood-Schlatter disease (OSD), in addition to those in the next section, include the following:

  • Sinding-Larson-Johansson syndrome
  • Tumor (bone or soft tissue)
  • Perthes disease (often presents with knee pain instead of hip complaints)
  • Patellar tendon avulsion/rupture
  • Chondromalacia patellae (Patellofemoral syndrome)
  • Patellar tendonitis
  • Infectious apophysitis
  • Accessory ossification centers
  • Osteomyelitis of the proximal tibia
  • Hoffa's syndrome
  • Synovial plica injury
  • Tibial tubercle fracture

Differential Diagnoses