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=Location= Osgood-Schlatter disease occurs at the tendon-bone junction of the patellar tendon and the tibial tuberosity. The tibial tuberosity is a slight elevation of bone on the anterior, proximal portion of the tibia. The patellar tendon attaches the anterior quadriceps muscles to the tibia. OSD takes place just below the kneecap.

=Long-Term Implications= OSD occurs from the combined affects of tibial tuberosity immaturity and quadriceps tightness. There is a possibility of migration of the ossicle or fragmentation in Osgood-Schlatter patients. The implications of OSD and the ossification of the tubercle can lead to functional limitations and pain for patients into adulthood.