Методы лечения болезни Осгуда–Шлаттера у детей раннего подросткового возраста в отечественной медицинской практике

Abstract

Osgood–Schlatter disease is an osteochondropathy of the tibial tuberosity that develops in children aged 12–15 years, more often in boys than in girls (the ratio between them ranges from 3:1 to 7:1), and developes without complications. Recovery occurs in 1–1.5 years from the moment of the first clinical manifestations. It is assumed that the difference is due to the greater participation of boys in sports and risky activities than girls. It was found that the main cause of morbidity is regular exercise and shortening of the rectus femoris muscle in adolescents. For most patients, conservative treatment is effective because painful symptoms stop, but if they persist, surgical treatment is recommended. The study of minimally invasive methods of treating Osgood–Schlatter disease described in the national literature revealed only a few works on various methods of treatment with a description of clinical cases. Objective Review of existing methods of minimally invasive treatment of Osgood–Schlatter disease in children of early adolescence, comparison of their effectiveness from the standpoint of modern evidence requirements. Materials and methods When preparing the review, electronic databases eLibrary, PubMed were used. Results In this review, a comparative analysis of the effectiveness of various minimally invasive methods of treatment is carried out. The main advantages of the methods, as well as their disadvantages, which are due to the complications and difficulties arising from their implementation, are considered. Conclusions The undesirability of surgical treatment of osteochondropathy due to the danger of closing the growth zone is a good reason to develop a new method.