The early modern medical literature contains references to Osgood-Schlatter disease under one name or another (see, for instance, the review by Dunlop1). However, to Osgood2 and to Schlatter3 belongs the credit for crystallizing the present day understanding of the disorder as a clinical entity. In their original papers, both published in 1903, Osgood and Schlatter defended the idea that the condition is a manifestation of minor trauma at the site of insertion of the patellar ligament into the tibia, in the region of its tubercle. In addition, their papers contain considerable data on the anatomy and development of the structures involved. The subsequent literature on the subject, while abundant, deals mainly with clinical considerations and with problems of treatment. It largely lacks factual discussion of the pathologic anatomy of the condition.
Apparently, the disorder results from either functional abuse of or frank insult to the region in