Arthroscopic Excision of an Ununited Ossicle Due to Osgood-Schlatter Disease

Beyzadeoğlu, Tahsin; İnan, Muharrem; Bekler, Halil; Altıntaş, Faik

doi:10.1016/j.arthro.2007.03.010

Cited by 22 publications

(20 citation statements)

References 4 publications

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“…Conservative measures are regarded to be the treatment of choice in adolescents with Osgood-Schlatter disease. The goals of conservative treatment are to lessen the stress on the tibial tubercle and to reduce the tension in the quadriceps muscle [12].…”

Section: Discussionmentioning

confidence: 99%

“…However, if conservative treatment fails, operative treatment may be considered. There are surgical procedures that include drilling of the tubercle, removal of the loose fragments, autogenous bone peg insertion through the tubercle, tibial tuberosity excision, or sequestrectomy [12]. Furthermore, arthroscopic techniques for surgical treatment of Osgood-Schlatter disease have also been recommended as well as bursoscopic excision [6,12,13].…”

Section: Discussionmentioning

confidence: 99%

“…There are surgical procedures that include drilling of the tubercle, removal of the loose fragments, autogenous bone peg insertion through the tubercle, tibial tuberosity excision, or sequestrectomy [12]. Furthermore, arthroscopic techniques for surgical treatment of Osgood-Schlatter disease have also been recommended as well as bursoscopic excision [6,12,13]. Arthroscopic procedure is a less invasive surgical modality while the patellar tendon is not violated and the patient avoids an incision directly over the patellar tendon that can cause pain with kneeling [6].…”

Section: Discussionmentioning

confidence: 99%

“…However, although conservative management has been conventionally favored, surgical intervention can be successful for patients who have intolerable symptoms [7]. Most surgical options of the Osgood-Schlatter disease include open procedures, while arthroscopic or direct bursoscopic excision has been reported [6,[7][8][9][10][11]12,13].…”

Section: Introductionmentioning

confidence: 99%

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Osgood-Schlatter Lesion Removed Arthroscopically in an Adult Patient

Tsakotos¹,

Flevas²,

Sasalos³

et al. 2020

Cureus

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Osgood-Schlatter disease is a traction apophysitis of the tibial insertion of the patellar tendon. It consists one of the most common causes of knee pain in adolescents and usually presents in young males and it is considered a self-limiting condition. Although the symptoms disappear after the closure of the growth plate in most cases, in some patients they may persist. A variety of conservative treatments are used in most cases, however surgical intervention can be successful for patients who have intolerable symptoms. Most surgical options of the Osgood-Schlatter disease include open procedures, while arthroscopic or direct bursoscopic excision has been reported. We believe that the arthroscopic removal of an unresolved Osgood-Schlatter might be the most appropriate treatment for this condition, and we present a case of a male patient with an ununited ossicle due to an Osgood-Schlatter lesion, which was removed arthroscopically using a multidirectional arthroscope and a motorized semi-hooded barrel burr.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Osgood-Schlatter Lesion Removed Arthroscopically in an Adult Patient

Tsakotos¹,

Flevas²,

Sasalos³

et al. 2020

Cureus

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“…However, a few patients continue to suffer from pain throughout adulthood and will have some restrictions of their activities. 6,7,[9][10][11][12] In this study, we describe the pathology of the Osgood-Schlatter disease in the adult population. We also discuss our surgical technique and our results of surgical treatment of Osgood-Schlatter disease in adults.…”

mentioning

confidence: 99%

Results of Surgical Treatment of Unresolved Osgood-Schlatter Disease in Adults

El-Husseini¹,

Abdelgawad

2010

J Knee Surg

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Osgood-Schlatter is a common disease with most cases resolving spontaneously with skeletal maturity. Adults with continued symptoms may need surgical treatment if they fail to respond to conservative measures. The purpose of this study is to describe the pathological lesions, our surgical technique, and the results of our surgical treatment of Osgood Schlatter disease in adults. Thirty-five adult patients (37 knees) had surgery for unresolved Osgood-Schlatter disease. Three patients were lost for follow-up. An incision over the anterolateral aspect of the patellar tendon was used. Direct anterior incisions were avoided to decrease postoperative pain with kneeling. The patellar tendon was reflected medially, and the ossicle was removed from the posterior surface of the tendon. A tibial tuberosity reduction osteotomy was done in 29 cases (85%). A beak of the distal part of the tibial tubercle was found in 24 cases (71%) with impingement of the patellar ligament. Thirty-one knees (91%) had complete resolution of preoperative pain. There was one case of painful scar. This surgical technique for treatment of Osgood-Schlatter disease in adults is effective and safe especially for those who have the habit of frequent kneeling.

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