Screening of the Maturity Status of the Tibial Tuberosity by Ultrasonography in Higher Elementary School Grade Schoolchildren

Ohtaka, Maiko; Hiramoto, Izumi; Minagawa, Hiroshi; Matsuzaki, Masashi; Kodama, Hiroyuki

doi:10.3390/ijerph16122138

Cited by 6 publications

(15 citation statements)

References 29 publications

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“…The prevalence of OSD ranges from 6.8% to 33% [ 13 , 14 , 15 ], affecting 1 in 10 athletic adolescents [ 3 ], and depends on factors such as the degree of development, the sport discipline or the presence of preventive programs [ 6 ]. For example, Lucena et al found a prevalence of 9.8% among males and females (mean age 13.7 years) [ 8 ], while Kujala et al reported a prevalence of 12.9% (mean age: 13.1 years) [ 9 ].…”

Section: Epidemiologymentioning

confidence: 99%

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Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review

et al. 2022

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Osgood-Schlatter disease is the most common osteochondritis of the lower limb in sport-practicing children and adolescents. Its manifestation usually coincides with the appearance of the secondary ossification center of the tibia and is linked to the practice of sports with an explosive component. In the present study, a review of the factors related to its appearance, diagnosis and treatment was carried out. Its appearance seems to be multifactorial and related to multiple morphological, functional, mechanical and environmental factors. Given all the above, risk factor reduction and prevention seem the most logical strategies to effectively prevent the appearance of the condition. In addition, it is essential to create prevention programs that can be objectively assessed and would allow to stop the progress of the pathology, particularly in those sports where high forces are generated on the insertion zone of the patellar tendon at sensitive ages. More studies are needed to clarify which type of treatment is the most appropriate—specific exercises or the usual care treatment.

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Section: Epidemiologymentioning

confidence: 99%

“…This fact could be explained due to the fact that girls reach the bone maturation stage of the tibial tuberosity two years earlier than boys [ 16 ]. Furthermore, some authors suggest that the risk of developing OSD is higher among females during the epiphyseal stage, particularly among sports practitioners [ 15 ].…”

Section: Epidemiologymentioning

confidence: 99%

Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review

et al. 2022

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“…Finally, between the ages of 14 to 16 years, a complete ossi cation of the remaining insertional cartilage occurs. Previous studies have shown that this maturation process begins earlier in girls which tend to progress 1 to 2 years earlier to the maturity stage than boys [3,8,9]. The offset in bone growth between boys and girls may be related to the development of secondary sex characteristics.…”

Section: Discussionmentioning

confidence: 94%

“…OSD is usually a self-limiting disease and symptoms tend to resolve with simple conservative treatment or at the end stages of skeletal growth [3,15]. Development of OSD during the growth period may be related to the structural changes of the tibial tuberosity before epiphyseal closure which makes it more vulnerable to traction injuries [6,9].…”

Section: Discussionmentioning

confidence: 99%

Tibial tuberosity maturation assessment by ultrasonography and screening for Osgood- Schlatter Disease in children and adolescent athletes: a cross sectional study

Dinescu,

Stoica,

Bita

et al. 2023

Preprint

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Background The tibial tuberosity maturation process is a developmental period during which insertional injuries can occur, such as Osgood-Schlatter disease. A four-stage classification system is commonly used to assess the developmental features of the tibial apophysis. Previous studies have shown that this maturation process begins earlier in girls which tend to progress 1 to 2 years earlier to the maturity stage than boys. Osgood-Schlatter disease is classified as traction apophysitis caused by excessive sports-related stress and occurs at the anterior aspect of the tibial tuberosity. This study was aimed to analyze the progression of tibial tuberosity maturation in relation to age of children and adolescent athletes. In addition, subjects included in the study were screened clinically and through ultrasound for development of Osgood-Schlatter disease. Methodology This was a single center cross-sectional study on 116 children and adolescent subjects with ages between 7 and 18 years. All subjects were practicing at least one sport regularly. All subjects were screened for symptoms related to Osgood-Schlatter disease and examined by ultrasound of the knee in order to establish the maturation stage of the tibial tuberosity based on a 4-point scale. Results Tibial tuberosity maturation grade was distributed as follows: grade 1 (n = 31, 26.72%), grade 2 (n = 9, 7.76%), grade 3 (n = 27, 23.28%) and grade 4 (n = 49, 42.24%). On clinical examination, only three cases presented symptoms associated with Osgood-Schlatter disease, which results in a very low prevalence of only 2.6% in the study population. All three cases displayed suggestive features on ultrasound examination. The majority of subjects over the age of 14 showed complete bone maturation. Between the ages of 13 and 15 years, female subjects showed higher proportions of complete bone maturation compared to males. Conclusion Our study describes the age pattern of the tibial tuberosity maturation process in children and adolescent athletes. Ultrasound imaging allowed for an accurate differentiation between the four stages of bone maturation and also offered a detailed view of the pathologic features associated with Osgood-Schlatter disease.

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“…Osgood-Schlatter disease (OSD) is a traction apophysitis characterized by pain, swelling, and bony bump on the anterior aspect of the tibial tuberosity where the patellar tendon inserts into the bone [ 1 , 2 ]. The prevalence of OSD is approximately 10% in adolescents, with 30% having bilateral symptoms [ 3 ], and it may be higher in those who are active in sports [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The Biomechanics Effect of Hamstring Flexibility on the Risk of Osgood-Schlatter Disease

Zhang

Ren

Duan

et al. 2022

Journal of Healthcare Engineering

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Background. The relationship between hamstring flexibility and the risk of OSD continues to be a debate, and whether hamstring stretching exercises should be considered as one of the conservative treatments of OSD is still unclear. Objectives. To investigate the relationship between hamstring flexibility and the risk of OSD by assessing the changes of loading on the tibial tuberosity caused by the changes of hamstring optimal lengths. Methods. Experimental data of a young adult running at 4 m/s were used, which were collected by an eight-camera motion capture system together with an instrumented treadmill. Muscle forces were estimated in OpenSim when hamstring optimal lengths changed in the range of 70–130% of the control case in 5% increments. The force and accumulated force of quadriceps muscle were calculated to evaluate the impact of hamstring optimal lengths on the loading on tibial tuberosity. The changes in muscle forces throughout the gait cycle were compared by using statistical parametric mapping (SPM). The average peak force and accumulated force of five gait cycles were compared. Results. Although the maximum force of the quadriceps muscle was slightly affected by changes in hamstring optimal lengths, the accumulated force of quadriceps muscle increased by 21.97% with hamstring optimal lengths decreased by 30% of the control case. The increase of the muscle force mainly occurred in the early stance phase and terminal swing phase ( P < 0.05 ). However, when hamstring optimal lengths were longer than the control, it had a little effect on accumulated force of quadriceps muscle. Conclusions. The results of this study indicate that a shorter hamstring optimal length, which means lack of flexibility, can cause a high accumulated force on tibial tuberosity, thus increasing the risk of OSD. Hamstring stretching exercise is only effective for people with lack of hamstring flexibility.

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Screening of the Maturity Status of the Tibial Tuberosity by Ultrasonography in Higher Elementary School Grade Schoolchildren

Cited by 6 publications

References 29 publications

Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review

Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review

Tibial tuberosity maturation assessment by ultrasonography and screening for Osgood- Schlatter Disease in children and adolescent athletes: a cross sectional study

The Biomechanics Effect of Hamstring Flexibility on the Risk of Osgood-Schlatter Disease

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