75 mg do not increase therapeutic effects. Administer high doses with caution and closely observe patient for response. These effects may result in analgesic, antipyretic, and anti-inflammatory activities. Surgical treatment rarely is indicated, and it generally is reserved for those patients with recurrent disabling pain unresponsive to conservative therapy. Once the other physes have closed, surgery may be necessary for non-united ossicles.
Conservative therapy is usually all that is needed.
Corticosteroid injections should be avoided because of the risk of degenerative changes and tissue atrophy. Symptoms usually resolve spontaneously within 1 y. Discomfort may persist for 2-3 y until the tibial growth plate closes. Persisting complaints may be from residual enlargement of the tuberosity or from ossicle formation in the patellar tendon. Tibial tuberosity excision for symptomatic Osgood-Schlatter disease. Knee problems in children.