Progress of diagnosis and treatment of Osgood-Schlatter disease
10.3760/cma.j.cn121113-20230429-00262
- VernacularTitle:胫骨结节骨软骨炎的诊疗进展
- Author:
Yanbo GUO
1
;
Yanchen LIANG
;
Fanglong ZHENG
;
Jiahao ZHANG
;
Wenxue LYU
;
Weishan WU
;
Gang LI
Author Information
1. 山东中医药大学第一临床医学院，济南 250355
- Keywords:
Tibia;
Osteochondritis;
Diagnosis;
Treatment;
Review
- From:
Chinese Journal of Orthopaedics
2023;43(17):1186-1192
- CountryChina
- Language:Chinese
-
Abstract:
Osgood-Schlatter disease (OSD) is a common strain disease in adolescents, which is more common in youth sports enthusiasts, athletes and soldiers. The clinical manifestations of OSD are typical, and the diagnosis can be made based on the medical history, physical examination and knee X-ray examination, but it needs to be differentiated from other diseases that may cause anterior knee pain. The risk factors of OSD development include males, 12-15 years of age in males and 8-12 years of age in females, high body mass index, skeletal-muscular anatomical variants, and large amount of exercise, etc. OSD is a self-limited disorder that gradually resolves as the skeleton maturates. Most patients do not need treatment or can also be treated with conservative methods such as exercise therapy, medications and physical therapy, but may be left with sequelae that affect motor function and quality of life. Clinical attention should be paid to it adequately. If the conservative treatment is ineffective, active operation should be performed. The principle of operation is to remove bone fragments and reconstruct tibial tuberosity. Common surgical procedures include traditional open surgery and arthroscopic surgery. Arthroscopic surgery, with its advantages of minimally invasive and rapid recovery, is currently advocated as the best surgical procedure, but the mid- and long-term efficacy is unclear.
