Konzervativno zdravljenje pacientov z Osgood-Schlatterjevo boleznijo – pregled literature : diplomsko delo

Perkič, Žan (author), Stražar, Klemen (mentor), Vauhnik, Renata (reviewer)

Uvod: Osgood-Schlatterjeva bolezen je oblika osteohondroze, ki sta jo leta 1903 prvič opisala Osgood in Schlatter. Za bolezen je značilen pojav trakcijskega apofizitisa golenične grčavine, ki nastane kot posledica ponavljajočih se kontrakcij štiriglave stegenske mišice. Pojavlja se pri otrocih in mladostnikih, ki so še v obdobju skeletne rasti in so športno aktivni. Večinoma se zdravi konzervativno, kar lahko vključuje vadbo, fizikalno terapijo, prilagoditev aktivnosti, uporabo opornic ali elastičnih lepilnih trakov ter nesteroidnih protivnetnih zdravil. Simptomi se praviloma spontano umirijo po zaprtju rastne plošče, pogosto brez potrebe po nadaljnjem zdravljenju. Namen: Namen diplomskega dela je predstaviti in oceniti različne načine konzervativnega zdravljenja Osgood-Schlatterjeve bolezni ter ugotoviti, kako učinkovito je lahko zdravljenje pri zmanjšanju intenzivnosti simptomov in vrnitvi mladostnikov v športno aktivnost. Metode dela: Iskanje literature je potekalo po elektronski bazi PubMed ter v akademski spletni platformi ResearchGate, kjer smo primerne članke iskali s ključnimi besedami »osgood schlatter« AND »treatment« AND »cohort study« ter »osgood schlatter« AND »physiotherapy«. Na podlagi vsebine in ključnih besed smo za ta pregled literature izbrali šest raziskav. Rezultati: Rezultati pregleda raziskav kažejo, da so različni načini konzervativnega zdravljenja učinkoviti pri zmanjševanju intenzivnosti simptomov, zlasti bolečine. Pozitivni učinki so se pokazali tudi pri funkcionalnem stanju preiskovancev, mišični zmogljivosti in zmanjšanju otekline, kar je vodilo do krajšega časa okrevanja ter posledično do relativno hitre in varne vrnitve mladostnikov v športno aktivnost. Pojavile pa so se tudi ponovitve bolezni in simptomov pri preiskovancih. Razprava in zaključek: Rezultati kažejo, da strukturirani programi terapevtske vadbe predstavljajo temelj konservativnega zdravljenja Osgood-Schlatterjeve bolezni, dodatni fizioterapevtski postopki pa lahko prispevajo k hitrejšemu lajšanju simptomov. Spodbudni rezultati glede zmanjšanja intenzivnosti simptomov in znakov ter izboljšanje funkcionalnosti pacientov lahko vodijo do hitrejše vrnitve v športno aktivnost. Kljub temu so potrebne dodatne visokokakovostne raziskave z bolj poenoteno metodologijo in večjimi vzorci.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, Osgood-Schlatterjeva bolezen, konzervativno zdravljenje, strukturiran vadbeni program, terapevtska vadba, fizikalna terapija, vrnitev v športno aktivnost
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [Ž. Perkič]
• Year: 2026
• Number of pages: 32 str.
• PID: 20.500.12556/RUL-184847
• UDC: 615.8
• COBISS.SI-ID: 285036291
• Publication date in RUL: 16.07.2026

Secondary language

• Language: English
• Title: Conservative treatment of patients with Osgood-Schlatter's disease – literature review : diploma work

Abstract

Introduction: Osgood-Schlatter's disease is a form of osteochondrosis, first described in 1903 by Osgood and Schlatter. The disease is characterized by the occurrence of traction apophysitis of the tibial tuberosity, which occurs as a result of repetitive contractions of the quadriceps femoris muscle. It occurs in children and adolescents who are still undergoing skeletal growth and are active in sports. It is mostly treated conservatively, which may include exercise, physical therapy, activity modification, the use of splints or elastic adhesive tapes and nonsteroidal anti-inflammatory drugs. Symptoms usually resolve spontaneously after the growth plate closes, often without the need for further treatment. Purpose: The purpose of the thesis is to present and evaluate various methods of conservative treatment of Osgood-Schlatter's disease, and to determine how effective the treatment can be in reducing the intensity of symptoms and returning the adolescent to sports activity. Methods: The literature search was conducted in the electronic database PubMed and in the academic online platform ResearchGate, where we searched for suitable articles using the keywords "osgood schlatter" AND "treatment" AND "cohort study" and the keywords "osgood schlatter" AND "physiotherapy". Based on the content and keywords, we selected six studies for this literature review. Results: The results of the research review show that various conservative treatment methods are effective in reducing the intensity of symptoms, especially pain. Positive effects also appeared in the functional state of the subjects, muscle capacity and reduction of swelling, which led to a shorter recovery time and consequently a relatively rapid and safe return of adolescents to sports activity. However, recurrences of the disease and symptoms also occurred in the subjects. Discussion and conclusion: The results suggest that structured therapeutic exercise programs are the cornerstone of conservative treatment for Osgood-Schlatter disease, and that additional physiotherapy interventions may contribute to faster symptom relief. The encouraging results in terms of reduction of symptom severity and clinical signs, together with improvement in patient function, may lead to a faster return to sports activity. However, additional high-quality research with more standardized methodology and larger samples is needed.

• Keywords: diploma theses, physiotherapy, Osgood-Schlatter disease, conservative treatment, structured exercise program, therapeutic exercise, physical therapy, return to sport