Abstract
Osgood-Schlatter disease is a traction apophysitis of the tibial insertion of the patellar tendon. It consists one of the most common causes of knee pain in adolescents and usually presents in young males and it is considered a self-limiting condition. Although the symptoms disappear after the closure of the growth plate in most cases, in some patients they may persist. A variety of conservative treatments are used in most cases, however surgical intervention can be successful for patients who have intolerable symptoms. Most surgical options of the Osgood-Schlatter disease include open procedures, while arthroscopic or direct bursoscopic excision has been reported. We believe that the arthroscopic removal of an unresolved Osgood-Schlatter might be the most appropriate treatment for this condition, and we present a case of a male patient with an ununited ossicle due to an Osgood-Schlatter lesion, which was removed arthroscopically using a multidirectional arthroscope and a motorized semi-hooded barrel burr.
Highlights
Osgood-Schlatter disease was first described in 1903 and is a traction apophysitis of the tibial insertion of the patellar tendon caused by the repetitive strain on the quadriceps femoris muscle [1]
It consists one of the most common causes of knee pain in adolescents and usually presents in young males aged 10 to 14 years, with a bilateral knee ratio of 25% to 33%. It is a self-limiting condition, with resolution of symptoms in about 90% of cases with or without some form of conservative treatment and the symptoms disappear after the closure of the growth plate in most cases, in some patients they may persist [2,3,4,5]
Hereby we report a case of a male patient with an ununited ossicle due to an Osgood-Schlatter lesion, which was removed arthroscopically using a multidirectional arthroscope and a motorized semi-hooded barrel burr
Summary
Osgood-Schlatter disease was first described in 1903 and is a traction apophysitis of the tibial insertion of the patellar tendon caused by the repetitive strain on the quadriceps femoris muscle [1] It consists one of the most common causes of knee pain in adolescents and usually presents in young males aged 10 to 14 years, with a bilateral knee ratio of 25% to 33%. Hereby we report a case of a male patient with an ununited ossicle due to an Osgood-Schlatter lesion, which was removed arthroscopically using a multidirectional arthroscope and a motorized semi-hooded barrel burr. A 26-year-old, male semiprofessional soccer player had a prominence of tibial tuberosity for 10 years and reported anterior knee pain during sports activity and while climbing stairs He claims pain commencement about 15 years ago and since he mentions occasional pain episodes. Postoperative X-ray showed minimal ossicle residual, and clinically there was no prominence (Figures 9, 10)
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