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Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes

The purpose of this case series is to report the outcomes of ossicle excision and tubercleplasty for unresolved Osgood-Schlatter disease that has failed conservative treatment in six adolescent athletes. A retrospective chart review was completed, and data collected include age at onset of symptoms,...

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Autores principales: Mun, Frederick, Hennrikus, William L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990524/
https://www.ncbi.nlm.nih.gov/pubmed/33815856
http://dx.doi.org/10.1155/2021/6677333
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author Mun, Frederick
Hennrikus, William L.
author_facet Mun, Frederick
Hennrikus, William L.
author_sort Mun, Frederick
collection PubMed
description The purpose of this case series is to report the outcomes of ossicle excision and tubercleplasty for unresolved Osgood-Schlatter disease that has failed conservative treatment in six adolescent athletes. A retrospective chart review was completed, and data collected include age at onset of symptoms, age at surgery, sex, laterality, mechanism of injury, conservative treatment regimen, radiographic findings, sports played, time to return to sport, length of follow-up, and Lysholm score. Surgery involved an open ossicle excision, tubercleplasty, and repair of the patellar tendon to bone using a suture anchor. Postoperatively, patients were allowed to fully weight-bear in an extension knee brace for 4 weeks and then allowed to gradually resume activity. Four males and 2 females were studied. The right knee was involved in 3 cases and the left knee in 3. The average age at onset of symptoms was 15.8 (range 12-18) and at surgery was 17.3 (range 17-18). Radiographic findings included a large bump in 4 cases, an ossicle in 2, and free fragments at the tendon insertion in 3. Sports played included basketball, football, running, and dancing. All patients returned to sports at an average of 21 weeks and 6 days postsurgery (range 8-56). The average length of follow-up was 14.2 weeks (range 5-27). The average Lysholm score postsurgery was 97.2 (range 94-100). Surgical treatment of unresolved Osgood-Schlatter disease was successful in all patients. No patients reported any postoperative complications or additional surgery. For skeletally mature and symptomatic patients, we recommend removal of the ossicle and adjacent bursae, smoothing the bump, and repairing the patellar tendon to bone.
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spelling pubmed-79905242021-04-02 Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes Mun, Frederick Hennrikus, William L. Case Rep Orthop Case Series The purpose of this case series is to report the outcomes of ossicle excision and tubercleplasty for unresolved Osgood-Schlatter disease that has failed conservative treatment in six adolescent athletes. A retrospective chart review was completed, and data collected include age at onset of symptoms, age at surgery, sex, laterality, mechanism of injury, conservative treatment regimen, radiographic findings, sports played, time to return to sport, length of follow-up, and Lysholm score. Surgery involved an open ossicle excision, tubercleplasty, and repair of the patellar tendon to bone using a suture anchor. Postoperatively, patients were allowed to fully weight-bear in an extension knee brace for 4 weeks and then allowed to gradually resume activity. Four males and 2 females were studied. The right knee was involved in 3 cases and the left knee in 3. The average age at onset of symptoms was 15.8 (range 12-18) and at surgery was 17.3 (range 17-18). Radiographic findings included a large bump in 4 cases, an ossicle in 2, and free fragments at the tendon insertion in 3. Sports played included basketball, football, running, and dancing. All patients returned to sports at an average of 21 weeks and 6 days postsurgery (range 8-56). The average length of follow-up was 14.2 weeks (range 5-27). The average Lysholm score postsurgery was 97.2 (range 94-100). Surgical treatment of unresolved Osgood-Schlatter disease was successful in all patients. No patients reported any postoperative complications or additional surgery. For skeletally mature and symptomatic patients, we recommend removal of the ossicle and adjacent bursae, smoothing the bump, and repairing the patellar tendon to bone. Hindawi 2021-03-17 /pmc/articles/PMC7990524/ /pubmed/33815856 http://dx.doi.org/10.1155/2021/6677333 Text en Copyright © 2021 Frederick Mun and William L. Hennrikus. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Mun, Frederick
Hennrikus, William L.
Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes
title Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes
title_full Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes
title_fullStr Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes
title_full_unstemmed Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes
title_short Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes
title_sort surgical treatment outcomes of unresolved osgood-schlatter disease in adolescent athletes
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990524/
https://www.ncbi.nlm.nih.gov/pubmed/33815856
http://dx.doi.org/10.1155/2021/6677333
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