There are contradictory reports regarding patellar position in the Osg
ood-Schlatter disease. We present a prospective statistical study of 1
7 patients with Osgood-Schlatter disease and 12 adolescents without an
terior knee pain. The Caton-Deschamps index was assessed on strictly t
he lateral radiograph of the knee. The findings indicate a strong asso
ciation between Osgood-Schlatter disease and patella alta. This increa
se in patellar height would require an increase in the force needed fr
om the quadriceps to achieve full extension. This mechanism could be r
esponsible for the apophyseal lesion.