Relationship Between Lower Limb Tightness and Practice Time Among Adolescent Baseball Players With Symptomatic Osgood-Schlatter Disease

Omodaka, Takuya; Ohsawa, Takashi; Tajika, Tsuyoshi; Shiozawa, Hiroyuki; Hashimoto, Syogo; Ohmae, Hiroaki; Shitara, Hitoshi; Ichinose, Tsuyoshi; Sasaki, Tsuyoshi; Hamano, Noritaka; Takagishi, Kenji; Chikuda, Hirotaka

doi:10.1177/2325967119847978

Cited by 26 publications

(34 citation statements)

References 24 publications

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“…A cross-sectional study compared lower limb tightness in adolescents with and without OSD and revealed that HBD was signi cantly higher in those with OSD. However, this study found no differences in SLRA (12). Our study showed that there was no obvious association between the new onset of AKP and HBD.…”

Section: Discussioncontrasting

confidence: 80%

“…There have been several studies on the risk factors for AKP in children and adolescents. Some researchers have reported that quadriceps tightness is associated with AKP (11) (12). A cross-sectional study compared lower limb tightness in adolescents with and without OSD and revealed that HBD was signi cantly higher in those with OSD.…”

Section: Discussionmentioning

confidence: 99%

“…One report showed that a higher body mass index increased knee pain and knee joint dysfunction (10). Another study reported lower extremity muscle tightness as an accurate risk factor for knee pain (11) (12). In Denmark, adolescents with knee pain had signi cantly higher levels of participation in leisure sports than those without knee pain (13).…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for the Occurrence and Protraction of Anterior Knee Pain in Children and Adolescents: a Prospective Cohort Study of 3 Years

Horii

Akagi

Takahashi

et al. 2021

Preprint

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Background: Anterior knee pain (AKP) is a common limitation to children’s participation in social and physical activities. Therefore, to prevent the occurrence and protraction of AKP, it is crucial to identify risk factors. The purpose of this study was to clarify the factors associated with the occurrence and protraction of AKP in children and adolescents. Method: A three-year prospective cohort study was conducted with children and adolescents aged 8–14 in Japan. We recorded the occurrence of AKP, heel buttock distance, straight leg raising angle (SLRA), dorsiflexion angle of the ankle joint, and the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS). Logistic regression analysis was performed to calculate the odds ratio (OR) for each predicted risk factor for the occurrence and protraction of AKP among subjects without AKP at baseline. Results: We recruited 1,254 children and adolescents for the present study, and 1,133 children and adolescents who did not have AKP at baseline were included in the analysis. Six to nine percent of the subjects developed AKP annually. A high HSS Pedi-FABS score significantly predicted AKP occurrence (in 2017, OR 1.07, 95% CI 1.02−1.12, p = 0.003; in 2018, OR 1.05, 95% CI 1.01−1.10, p = 0.025). Of the participants, 32.9% developed chronic AKP during the follow-up period. When 8-year-old was used as a reference age, 13-year-old subjects (right side, OR 2.37, 95% CI, 1.00−5.61, p = 0.05) and 14-year-old subjects (right side, OR 2.57, 95% CI, 1.00−6.60, p = 0.049; left side, OR 6.32; 95% CI 1.33−30.00, p = 0.020) were at a significantly higher risk of AKP protraction. Conclusions: This study showed that a greater physical activity level was a risk factor for the onset of anterior knee pain in childhood. In addition, one-third of the children and adolescents developed chronic knee pain, and elderly adolescents were at a higher risk of protraction.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk Factors for the Occurrence and Protraction of Anterior Knee Pain in Children and Adolescents: a Prospective Cohort Study of 3 Years

Horii

Akagi

Takahashi

et al. 2021

Preprint

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“…Ten studies reported on tibial tuberosity maturation 16,18,19,22,23,28,42‐45 and six of these did not include controls 18,19,22,42‐44 . Most studies (n = 6) used the Ehrenborg classification or a modified version ranging from the cartilaginous stage to a bony/mature attachment.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of imaging findings in patients with Osgood‐Schlatter disease

Sørensen

Rathleff

Dean

et al. 2021

Translational Sports Med

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This systematic review aimed to describe the imaging characteristics of Osgood‐Schlatter (OSD) compared with controls and imaging findings over time. A systematic search was conducted in Embase, CINAHL, and PubMed from inception until July 2021. Forty studies were eligible and included based on inclusion criteria on OSD diagnosis, the number of patients, and imaging outcomes. In patients with OSD, but not controls, findings were soft‐tissue swelling of the cartilage and infrapatellar bursa, tendon changes, increased Doppler flow, and fragmentation of the secondary ossification center. Follow‐up studies reported improvements over time, but some identified persistent tendon thickening and/or ossicles. Adults with OSD generally present with free ossicles. Findings were inconsistent on whether different morphometric features were altered in OSD compared to controls. OSD patients were classified within the early stages of tibial tuberosity maturation. This review documents that OSD presents with tissue alterations that do not appear in controls or the patient's asymptomatic knee. Notably, a large portion had tendon involvement, and ossicles seem to be associated with residual symptoms after maturation. Standard imaging of adolescents with OSD needs to be carefully considered when determining if tissue alterations are related to disease progression or part of the normal maturation.

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“…Omodaka et al [ 17 ] demonstrated a significant relationship between the duration of training and the onset of OSD. Hall et al [ 18 ] revealed a fourfold increase in the risk of OSD when sport-specific training is performed during adolescence.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic interventions in Osgood-Schlatter disease

Gaweł¹,

Zwierzchowska²

2021

Medicine

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Rationale: The purpose of this case study was to identify factors of bilateral etiopathogenesis of Osgood-Schlatter disease (OSD) and those supporting the effectiveness of the therapeutic process in a 12-year-old elite female Olympic karateka. Patient concerns: The present case study concerns OSD female karateka who started her sport-specific training at the age of 4 years. Diagnoses: The results of subjective palpation by the orthopedic surgeon and objective medical examination using ultrasonography, wall slide test, magnetic resonance imaging, and body height and weight measurements were collected. Interventions: The therapeutic intervention for the athlete's knee joints lasted 20 months (5 stages). Physical therapy, kinesiotherapy, and pharmacological treatment were administered, and physical activity was gradually introduced. Outcomes: The developmental trajectory was uniform for body height and labile for body weight. OSD was diagnosed after the second growth spurt, and significant progression was reported during the subsequent height and weight gains and increased volume and intensity of sports training. The rate and dynamics of changes in the distance from the patellar ligament to the tibial apophysis were irregular, with dominance in the right knee with the highest rate of change (–3.3 mm) and twice the regression of the rate of change (–2.5 mm). The analyzed distance never exceeded the baseline value (5.5 mm), which was the case in the left knee. Return to sports competition was possible from the second month of therapy, in which kinesiotherapy and static stretching were the most effective. A relatively correct distance of the patellar ligament from the tibial apophysis was recorded at the time of stabilization of the body height and weight gain. No pathological changes were observed following OSD, and full recovery was observed. Lessons: In the case discussed in this study, growth spurt, the specificity of the sport practiced, and early specialization including high-volume and high-intensity training should be considered as factors causing OSD and its progression. Kinesiotherapeutic management and static stretching are crucial for the treatment of OSD. Quick return to sports competition was possible due to early therapeutic intervention, which could also lead to the absence of pathological changes in the tibial tubercle and the absence of recurrence of OSD.

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Relationship Between Lower Limb Tightness and Practice Time Among Adolescent Baseball Players With Symptomatic Osgood-Schlatter Disease

Cited by 26 publications

References 24 publications

Risk Factors for the Occurrence and Protraction of Anterior Knee Pain in Children and Adolescents: a Prospective Cohort Study of 3 Years

Risk Factors for the Occurrence and Protraction of Anterior Knee Pain in Children and Adolescents: a Prospective Cohort Study of 3 Years

A systematic review of imaging findings in patients with Osgood‐Schlatter disease

Therapeutic interventions in Osgood-Schlatter disease

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