Bursoscopic Ultrasound-Guided Ossicle Resection for Osgood–Schlatter Disease

Ultrasound-guided surgery in musculoskeletal medicine

“…1. The role of US to accurately localize and remove soft tissue foreign bodies, hematoma, calcific deposits, and ossicles were demonstrated in several papers [7][8][9][10]. They are often referred to as the "first generation" US-guided surgery [6].…”

Real-Time Virtual Sonography-Guided Ossicle Removal in Unresolved Osgood-Schlatter Disease

“…Arthroscopic removal of the ossicle reportedly minimizes the invasion. 3 , 4 , 5 Compared to open surgery, arthroscopic excision is more beneficial because the patellar tendon is not injured, and only 2 small skin incisions are required. However, arthroscopic surgery alone requires intraoperative fluoroscopy to confirm the location of the ossicle, which is covered by the bursa.…”

“…However, arthroscopic surgery alone requires intraoperative fluoroscopy to confirm the location of the ossicle, which is covered by the bursa. Hence, reports mention the combined use of ultrasound for arthroscopic guidance, 4 , 5 but with the disadvantage of a small working portal of the arthroscope, especially when a nano-arthroscope is used.…”