A young wrestler with antecedent both-knee Osgood Schlatter's disease and JOCD

A 15-yr-old high school wrestler with an antecedent history of bilateral knee Osgood Schlatter's disease and juvenile osteochondritis dissecans (JOCD) presented with a 6-month complaint of episodic bilateral knee pain. History and physical examination results were consistent with a diagnosis of patello-femoral dysfunction secondary to prior intraarticular knee pathology. Radiographic evaluation demonstrated resolution of the previous osteochondral defects in both femoral condyles. After participating in a short course of supervised rehabilitation, the athlete was able to return to full activity. Review of the patient's record since initial diagnosis of bilateral Osgood Schlatter's disease and JOCD suggested a delay in diagnosis secondary to previously existing knee pathology. Informed consent was obtained from the subject and respective guardian prior to preparation of this case review.