Cargando…

Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males

BACKGROUND: Osgood-Schlatter disease (OSD) is a traction apophysitis of the tibial tuberosity. Ultrasonography (US) is able to detect pathologic changes, such as cartilage swelling and fragmentation of the tibial tubercle ossification center. PURPOSE: To compare the US stages of tibial tuberosity de...

Descripción completa

Detalles Bibliográficos
Autores principales: Yanagisawa, Shinya, Osawa, Takashi, Saito, Kenichi, Kobayashi, Tsutomu, Tajika, Tsuyoshi, Yamamoto, Atsushi, Iizuka, Haku, Takagishi, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
72
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588527/
https://www.ncbi.nlm.nih.gov/pubmed/26535345
http://dx.doi.org/10.1177/2325967114542084
_version_ 1782392645369200640
author Yanagisawa, Shinya
Osawa, Takashi
Saito, Kenichi
Kobayashi, Tsutomu
Tajika, Tsuyoshi
Yamamoto, Atsushi
Iizuka, Haku
Takagishi, Kenji
author_facet Yanagisawa, Shinya
Osawa, Takashi
Saito, Kenichi
Kobayashi, Tsutomu
Tajika, Tsuyoshi
Yamamoto, Atsushi
Iizuka, Haku
Takagishi, Kenji
author_sort Yanagisawa, Shinya
collection PubMed
description BACKGROUND: Osgood-Schlatter disease (OSD) is a traction apophysitis of the tibial tuberosity. Ultrasonography (US) is able to detect pathologic changes, such as cartilage swelling and fragmentation of the tibial tubercle ossification center. PURPOSE: To compare the US stages of tibial tuberosity development and the physical features and prevalence of OSD in this patient cohort. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Subjects included 238 males (n = 476 joints) with a mean age of 11.4 ± 1.6 years (range, 7-14 years). The tibial tuberosity development on US was divided into 3 stages: the cartilaginous stage (stage C), apophyseal stage (stage A), and epiphyseal stage (stage E). It was then investigated whether the subjects had pain in the tibial tuberosity on application of pressure. Age, height, body weight, body mass index (BMI), heel-buttock distance (HBD, cm), and straight-leg raise angle (SLRA) were evaluated. To confirm the diagnosis of OSD, the participant had to fulfill the following clinical criteria: pain with direct pressure on the tibial apophysis, fragmentation of the bone, and irregularity of the ossification center detected by US. RESULTS: The tibial tuberosity was stage C in 195 knees, stage A in 105 knees, and stage E in 176 knees. The subjects’ heights, weights, and BMIs significantly increased with advancing development of the tibial tuberosity. The HBD increased in stage E (P < .01). The SLRA was not significantly different among groups. There was fragmentation of the bone and irregularity of the ossification center in 32 knees (6.8%): 0 in stage C, 21 (4.3%) in stage A, and 11 (2.3%) in stage E. Fragmentation of the bone and irregularity were observed significantly more often in stage A (P < .01). On the other hand, there were 10 joints with OSD (2.1%): 0 in stage C, 3 (0.6%) in stage A, and 7 (1.5%) in stage E. OSD was observed significantly more often in stage E than in the other stages (P < .05). CONCLUSION: The present study showed that the HBD increased from stage A to stage E. The prevalence of OSD was highest in stage E.
format Online
Article
Text
id pubmed-4588527
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-45885272015-11-03 Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males Yanagisawa, Shinya Osawa, Takashi Saito, Kenichi Kobayashi, Tsutomu Tajika, Tsuyoshi Yamamoto, Atsushi Iizuka, Haku Takagishi, Kenji Orthop J Sports Med 72 BACKGROUND: Osgood-Schlatter disease (OSD) is a traction apophysitis of the tibial tuberosity. Ultrasonography (US) is able to detect pathologic changes, such as cartilage swelling and fragmentation of the tibial tubercle ossification center. PURPOSE: To compare the US stages of tibial tuberosity development and the physical features and prevalence of OSD in this patient cohort. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Subjects included 238 males (n = 476 joints) with a mean age of 11.4 ± 1.6 years (range, 7-14 years). The tibial tuberosity development on US was divided into 3 stages: the cartilaginous stage (stage C), apophyseal stage (stage A), and epiphyseal stage (stage E). It was then investigated whether the subjects had pain in the tibial tuberosity on application of pressure. Age, height, body weight, body mass index (BMI), heel-buttock distance (HBD, cm), and straight-leg raise angle (SLRA) were evaluated. To confirm the diagnosis of OSD, the participant had to fulfill the following clinical criteria: pain with direct pressure on the tibial apophysis, fragmentation of the bone, and irregularity of the ossification center detected by US. RESULTS: The tibial tuberosity was stage C in 195 knees, stage A in 105 knees, and stage E in 176 knees. The subjects’ heights, weights, and BMIs significantly increased with advancing development of the tibial tuberosity. The HBD increased in stage E (P < .01). The SLRA was not significantly different among groups. There was fragmentation of the bone and irregularity of the ossification center in 32 knees (6.8%): 0 in stage C, 21 (4.3%) in stage A, and 11 (2.3%) in stage E. Fragmentation of the bone and irregularity were observed significantly more often in stage A (P < .01). On the other hand, there were 10 joints with OSD (2.1%): 0 in stage C, 3 (0.6%) in stage A, and 7 (1.5%) in stage E. OSD was observed significantly more often in stage E than in the other stages (P < .05). CONCLUSION: The present study showed that the HBD increased from stage A to stage E. The prevalence of OSD was highest in stage E. SAGE Publications 2014-07-18 /pmc/articles/PMC4588527/ /pubmed/26535345 http://dx.doi.org/10.1177/2325967114542084 Text en © The Author(s) 2014 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle 72
Yanagisawa, Shinya
Osawa, Takashi
Saito, Kenichi
Kobayashi, Tsutomu
Tajika, Tsuyoshi
Yamamoto, Atsushi
Iizuka, Haku
Takagishi, Kenji
Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males
title Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males
title_full Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males
title_fullStr Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males
title_full_unstemmed Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males
title_short Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males
title_sort assessment of osgood-schlatter disease and the skeletal maturation of the distal attachment of the patellar tendon in preadolescent males
topic 72
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588527/
https://www.ncbi.nlm.nih.gov/pubmed/26535345
http://dx.doi.org/10.1177/2325967114542084
work_keys_str_mv AT yanagisawashinya assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales
AT osawatakashi assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales
AT saitokenichi assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales
AT kobayashitsutomu assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales
AT tajikatsuyoshi assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales
AT yamamotoatsushi assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales
AT iizukahaku assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales
AT takagishikenji assessmentofosgoodschlatterdiseaseandtheskeletalmaturationofthedistalattachmentofthepatellartendoninpreadolescentmales