2017 ISAKOS Biennial Congress ePoster #1616

 

Results Of Arthroscopic Treatment In Unresolved Osgood-Schlatter Disease In Athletes

Tahsin Beyzadeoglu, MD, Prof., Istanbul TURKEY
Esra Circi, MD, Istanbul TURKEY

Halic University & Beyzadeoglu Sports Medicine Clinic, Istanbul, TURKEY

FDA Status Cleared

Summary

We investigated the functional outcomes after arthroscopic treatment of unresolved OSD in athletes. In all athletes, the arthroscopic treatment of OSD yielded satisfactory functional recovery. No postoperative complication were observed. All athletes were able to return to same level athletic activity.

Abstract

Purpose

Osgood-Schlatter disease(OSD)is common causes of knee pain in adolescent. Most patients respond to conservative treatment. However surgical treatment has been recommended for unresolved OSD. The aim of this study was to determine the outcomes of arthroscopic ossicle excision in athletes with unresolved OSD.

Methods

Between September 2008 and November 2014, arthroscopy was performed 11 knees of 11 patients with OSD. Surgical treatment inclusion criteria were: failure of conservative treatment, isolated pain over the tibial tubercle and distal patellar tendon, performance decrease at competitive level sports activity due to pain, and radiologic evidence of an ununited avulsed osseous fragment. Patients have a documented history of OSD with refractory pain over the tibial tubercle for a mean of 15.5 months (range, 7 to 24 months; SD, 7.5 months). The mean age was 23 years (range, 19 to 29 years; SD, 2.8 years). The mean follow-up period was 66.1 months (range, 15 to 96 months; SD, 25.6 months).

Results

The mean return the sports activities after the surgery was 6.7 weeks (range 5 to 9 weeks; SD 1.3weeks).The mean Kujala patellofemoral score improved from 82.9 (range 80 to 88 points; SD 2.6) preoperatively to 98.5 (range 96 to 100 points; SD 1.6) at final follow-up (p<0.01). In addition, the mean Lysholm knee scale was 87.5 (range 86 to 90 points; SD 1.7) in the preoperative period and increased to 96.9 (range 94 to 100 points; SD 2.5) at final follow-up(p<0.01).The mean Tegner activity level was 7.5 (range 6 to 8; SD 0.9) in the preoperative period and increased to 8.5 (range 7 to 9; SD 0.9) after surgery (p<0.01).

Conclusion

We investigated the functional outcomes after arthroscopic treatment of unresolved OSD in athletes. In all athletes, the arthroscopic treatment of OSD yielded satisfactory functional recovery. No postoperative complication were observed. All athletes were able to return to same level athletic activity.
Level of evidence: Therapeutic Level IV.
Key terms: Osgood-Schlatter disease, athletes, knee arthroscopy, ununited ossicle