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Results of arthroscopic treatment in unresolved Osgood-Schlatter disease in athletes

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Abstract

Aim of the study

In this study we aimed to determine outcomes following arthroscopic ossicle excision in athletes with unresolved Osgood-Schlatter disease (OSD).

Method

Arthroscopy was performed on 11 patients (11 knees) with OSD between September 2008 and November 2014. Surgical treatment inclusion criteria were determined as: failure of conservative treatment; isolated pain over the tibial tubercle and distal patellar tendon; pain limiting sporting performance at a competitive level. All patients had a documented history of OSD; the mean duration of persistent pain over the tibial tubercle was 15.5 months. The mean age was 23 years. The mean follow-up period was 66.1 months.

Results

The mean latency in returning to sports related training activities after the surgery was 6.7 weeks. The mean Kujala patello-femoral score improved from 82.9 points pre-operatively, to 98.5 points at the final follow-up (p < 0.01). The mean Lysholm knee scale score was 87.5 points in the pre-operative period, increasing to a score of 96.9 points at final follow-up (p < 0.01). The mean Tegner activity level score was 7.5 in the pre-operative period, increasing to 8.5 post-operatively (p < 0.01).

Discussion

We investigated the functional outcomes after arthroscopic treatment of unresolved OSD in athletes. All athletes with OSD showed satisfactory functional recovery following arthroscopic treatment. All patients were able to return to the same level of athletic activity.

Conclusion

Arthroscopic surgery for unresolved OSD has the major advantage of faster recovery and avoiding damage to the patellar tendon.

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Istanbul Education and Research Hospital, Istanbul, Turkey

    Esra Circi

  2. Department of Orthopaedics and Traumatology, Beyzadeoglu Sports Medicine Clinic, Bagdat cad No 333 Erenkoy, 34738, Istanbul, Turkey

    Tahsin Beyzadeoglu

  3. School of Health Sciences, Halic University, Istanbul, Turkey

    Tahsin Beyzadeoglu

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  1. Esra Circi
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  2. Tahsin Beyzadeoglu
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Correspondence to Tahsin Beyzadeoglu.

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The authors declare that they have no conflict of interest.

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All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Circi, E., Beyzadeoglu, T. Results of arthroscopic treatment in unresolved Osgood-Schlatter disease in athletes. International Orthopaedics (SICOT) 41, 351–356 (2017). https://doi.org/10.1007/s00264-016-3374-1

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  • DOI: https://doi.org/10.1007/s00264-016-3374-1

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