Osgood-Schlatter Lesion Removed Arthroscopically in an Adult Patient

Abstract

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.

Bursoscopic Ultrasound-Guided Ossicle Resection for Osgood–Schlatter Disease

“…These portals reduce the risk of damage to the infrapatellar fat pad, anterior horn of the meniscus, and intermeniscal ligament. 9 Bursoscopic surgery also facilitates the easy removal of ossicles, located distal to the deep infrapatellar bursa. One potential disadvantage of bursoscopic surgery, especially in the debridement of the tibial tuberosity, 4 is the limited working space.…”

Nano-Arthroscopic Ultrasound-Guided Excision of Unresolved Osgood−Schlatter Disease

“…This scanner is wrapped into a sterile plastic bag and available during the operation. Tsakotos et al 8 reported that fluoroscopic control was necessary after the arthroscopic Fig 10 . Nano-arthroscopic view of the patient's left knee during excision of ossicles (OS). A 2.0-mm arthroscopic punch is inserted from the medial working portal.…”

“…Tsakotos et al. 8 reported that fluoroscopic control was necessary after the arthroscopic excision of the osscle. This technique using ultrasonography is also superior compared with past reports in terms of radiation exposure.…”

Secuelas de enfermedad de Osgood Schlatter en adulto

“…La mayoría de las opciones quirúrgicas de la enfermedad de Osgood-Schlatter incluyen procedimientos abiertos, actualmente se efectúa la escisión artroscópica directa. 3…”