Osteochondrosis or Epiphysitis and Other Miscellaneous Affections

Canale, S. Terry

doi:10.1016/b978-0-323-03329-9.50032-5

Cited by 6 publications

(5 citation statements)

References 580 publications

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“…Adolescents who participate in sports requiring running and leaping develop this condition. Adolescents who participated in gymnastics, dance, roller skating, soccer, basketball, and athletics were among the reported cases [1][2][3]. However, our patient was a 55-year-old female patient with no history of trauma or repetitive motion that could be linked to the etiology of this disease.…”

Section: Discussionmentioning

confidence: 78%

Iselin Disease With a Rare Presentation in an Elderly Patient: A Case Report

Aljabri¹,

Alhassani²,

Labban³

et al. 2023

Cureus

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We report the case of a 55-year-old female with a rare presentation and different pathophysiology of Iselin's disease. Iselin's disease is a rare condition caused by traction apophysitis of the peroneus brevis tendon at the base of the fifth metatarsal bone. It is usually a case in the adolescent age group due to their repetitive use of the peroneus tendon in daily activities, but not in the elderly group. This type of apophysitis is rare and easily missed or misdiagnosed as a fracture in the base of the fifth metatarsal bone. However, a simple radiographic image can confirm the diagnosis. In this case, we aim to raise awareness of Iselin's disease for better comprehension of the clinical presentation, differential diagnosis, radiological features, management, and prognosis of Iselin's disease.

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Section: Discussionmentioning

confidence: 78%

Iselin Disease With a Rare Presentation in an Elderly Patient: A Case Report

Aljabri¹,

Alhassani²,

Labban³

et al. 2023

Cureus

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“…There are many surgical options for unresolved Osgood-Schlatter disease including drilling of the tubercle, removal of the loose fragments, autogenous bone peg insertion through the tubercle (to obtain epiphysiodesis of the anterior tibial apophysis), tibial tubercle excision, and excision of the un-united ossicles. 6,7,9,[12][13][14][15][16][17][18] Recently, arthroscopic treatment was also described. 10,11 It is now generally accepted that unresolved cases of Osgood-Schlatter disease can be adequately managed by excision of the ossicle with the addition of tibial tubercle thinning osteotomy (tibial tubercleplasty) if the tibial tubercle is large.…”

Section: Discussionmentioning

confidence: 99%

“…Our surgical technique for ossicle excision and tibial tubercleplasty is different from that done by other surgeons. 9,12,14,[16][17][18] Anterior incisions directly over the tibial tubercle were avoided, as we believe that this may lead to painful scar when the patient kneels. In the study by Flowers and Bhadreshwar, despite 95% of the patients having relief from pain, 10% of the patients had a tender scar at 3.5 months.…”

Section: Discussionmentioning

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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“…Studies on surgical correction, orthotic applications, and spontaneous healing of infantile tibia vara (ITV) have been performed since the 1960s [ 1 – 9 ]. Most of them were radiographic evaluations describing metaphyseal-diaphyseal proximal tibial angles and the progression of distal femoral deformity [ 2 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Body weight and early walking were found to be factors that contributed to the development of the condition, which is not seen in nonambulatory patients. Ligamentous laxity and the lateral thrust of the knee in the stance phase of gait have been cited as determining factors [ 1 , 12 ] and abnormally increased knee internal rotation and hip external rotation moments have been observed [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Orthosis Effects on the Gait of a Child with Infantile Tibia Vara

Alsancak

Güner

2015

Case Reports in Pediatrics

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Infantile tibia vara (ITV) is an acquired form of tibial deformity associated with tibial varus and internal torsion. As there is currently insufficient data available on the effects of orthotics on gait parameters, this study aimed to document the influence of orthosis on walking. A male infant with bilateral tibia vara used orthoses for five months. Gait evaluations were performed pre- and posttreatment for both legs. The kinematic parameters were collected by using a motion analysis system. The orthotic design principle was used to correct the femur and tibia. Posttreatment gait parameters were improved compared to pretreatment parameters. After 5 months, there was remarkable change in the stance-phase degrees of frontal plane hip joint abduction and knee joint varus. We found that orthoses were an effective treatment for the infantile tibia vara gait characteristics in this patient. Full-time use of single, upright knee-ankle-foot orthosis with a drop lock knee joint and application of corrective forces at five points along the full length of the limb were effective.

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Osteochondrosis or Epiphysitis and Other Miscellaneous Affections

Cited by 6 publications

References 580 publications

Iselin Disease With a Rare Presentation in an Elderly Patient: A Case Report

Iselin Disease With a Rare Presentation in an Elderly Patient: A Case Report

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

Orthosis Effects on the Gait of a Child with Infantile Tibia Vara

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