Osgood-Schlatter in adults ?

Pain & Rehab Forum [Moderated]
1

Hello guys !
I’m a new member in this forum but quite familiar with BBM’s content (listening to as many podcast as possible). Great content by the way keep going !

First some background: I’m a 22 yo man practicing Olympic Weightlifing for 2 years now and beginning to do some competitions as a -73kg.
I had a quad tendinopathy that I successfully managed in the left knee during 6-8 month last year (from March 2019 to September 2019) . From now on I competed in December 2019 with PRs in both lifts so great rehab.
Last week (the 2nd of January), one of my training partner showed me a belt squat set up in our gym. As a fool I am, I had to give it a try at the end of my training session. I followed him and warmed up easily to his working weights. We did sets of 15 reps with a fast tempo as the weight were “not heavy enough”. During the third set I felt a discomfort in my left knee. I stopped the belt squat here because I wasn’t feeling to keep going this way.
Since then I feel a pain at the anterior tibial tuberosity and make me wonder if Osgood Schlatter was a thing among adults ? I think no but would be interesting to have your opinion (no personnal history of Osgood Schlatter for the record).

As the pain was mild I kept training adapting the movements to avoid too much pain but I feel squatting and knee extension movements worsen the pain… I thought it would get away pretty quickly but isn’t the case and now I have pain when I touch the ATT and during quad contraction against resistance. Patellar tendinopathy at the ATT insertion comes to my mind, if so do I have to treat it like a tendinopathy ?

Thanks in advance for your answer !

2

Yes, we would manage this as a patellar tendinopathy.

3

… you only mention the pain in your post.
Do you have the typical large bump, associated with the tendon ripping a piece of bone off the tibia (tuberosity)???
(sorry about the overly descriptive language there Austin)

(reference imagine below … just a rando image / not me)
(what I have makes this look like joke/small pimple problem)
[IMG2=JSON]{“data-align”:“none”,“data-size”:“full”,“src”:“https://www.ortho.wustl.edu/mm/images/Osgood-Schlatter’sDisease1.jpg”}[/IMG2]

Because I’m 48 and I have one of those.
A hard bone-like mass right there like something’s wrong.
…and then people tell me “you caN’T have O.S. cuz you are 48”.

But pretty sure its the same mechanical/structural problem …

Austin, thoughts ? [/thread hi-jack]

4

I’m not sure what your specific question is here.

Having a firm “bone-like mass” isn’t necessarily diagnostic of apophysitis; more importantly, we care about specific diagnoses only insofar as they impact subsequent management. Since we’d manage this particular situation essentially the same way whether it was deemed to be a patellar tendinopathy vs. OS vs. other non-specific knee pain, the specific diagnosis isn’t terribly important.