Conservative treatment of Osgood-Schlatter disease among young professional soccer players

Bezuglov, Eduard; Tikhonova, Aleksandra; Chubarovskiy, Ph. V.; Repetyuk, А. D.; Khaitin, Vladimir; Lazarev, Artemii; Usmanova, E. M.

doi:10.1007/s00264-020-04572-3

Cited by 17 publications

(26 citation statements)

References 27 publications

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“…This led to the greatest effectiveness in regression of subpatellar pain, which was confirmed by the athlete's medical history and the wall slide test. These effects are consistent with the findings of Bezuglov et al, [ 25 ] who showed that the applied therapeutic intervention (kinesiotherapeutic management) in the quadriceps femoris muscle, physiotherapy, and the gradual increase in physical activity led to discomfort during training in only 35.7% of the patients with unilateral and bilateral OSD, with the symptoms of the disease resolving spontaneously over time.…”

Section: Discussionsupporting

confidence: 91%

Therapeutic interventions in Osgood-Schlatter disease

Gaweł¹,

Zwierzchowska²

2021

Medicine

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Rationale: The purpose of this case study was to identify factors of bilateral etiopathogenesis of Osgood-Schlatter disease (OSD) and those supporting the effectiveness of the therapeutic process in a 12-year-old elite female Olympic karateka. Patient concerns: The present case study concerns OSD female karateka who started her sport-specific training at the age of 4 years. Diagnoses: The results of subjective palpation by the orthopedic surgeon and objective medical examination using ultrasonography, wall slide test, magnetic resonance imaging, and body height and weight measurements were collected. Interventions: The therapeutic intervention for the athlete's knee joints lasted 20 months (5 stages). Physical therapy, kinesiotherapy, and pharmacological treatment were administered, and physical activity was gradually introduced. Outcomes: The developmental trajectory was uniform for body height and labile for body weight. OSD was diagnosed after the second growth spurt, and significant progression was reported during the subsequent height and weight gains and increased volume and intensity of sports training. The rate and dynamics of changes in the distance from the patellar ligament to the tibial apophysis were irregular, with dominance in the right knee with the highest rate of change (–3.3 mm) and twice the regression of the rate of change (–2.5 mm). The analyzed distance never exceeded the baseline value (5.5 mm), which was the case in the left knee. Return to sports competition was possible from the second month of therapy, in which kinesiotherapy and static stretching were the most effective. A relatively correct distance of the patellar ligament from the tibial apophysis was recorded at the time of stabilization of the body height and weight gain. No pathological changes were observed following OSD, and full recovery was observed. Lessons: In the case discussed in this study, growth spurt, the specificity of the sport practiced, and early specialization including high-volume and high-intensity training should be considered as factors causing OSD and its progression. Kinesiotherapeutic management and static stretching are crucial for the treatment of OSD. Quick return to sports competition was possible due to early therapeutic intervention, which could also lead to the absence of pathological changes in the tibial tubercle and the absence of recurrence of OSD.

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Section: Discussionsupporting

confidence: 91%

Therapeutic interventions in Osgood-Schlatter disease

Gaweł¹,

Zwierzchowska²

2021

Medicine

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“…A surgeon’s main activity is to perform surgery and care. However, a big number of publications in the years 2017 to 2020 were related to alternative methods for managing orthopaedic conditions, medical treatments, infiltrations, physical therapy, patient education, diet, and so many others [ 4 – 6 ].…”

Section: Discussionmentioning

confidence: 99%

The growth of scientific publications in 2020: a bibliometric analysis based on the number of publications, keywords, and citations in orthopaedic surgery

Sun¹,

Mavrogenis

Scarlat

2021

International Orthopaedics (SICOT)

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“…It consists of the onset of a traction apophysitis as a consequence of repeated contractions of the femoral rectum part of the quadriceps [ 3 ] (see Figure 1 ) and may be bilateral [ 4 ]. OSD is one of the most common overuse of the lower limb injuries among children and adolescents [ 5 ] and is usually a self-limiting pathology [ 6 ]. Its manifestation coincides with the development of the secondary ossification center of the anterior tibial tuberosity (apophyseal phase), which usually occurs at around age 9 in girls and 11 in boys.…”

Section: Introductionmentioning

confidence: 99%

Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review

et al. 2022

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Osgood-Schlatter disease is the most common osteochondritis of the lower limb in sport-practicing children and adolescents. Its manifestation usually coincides with the appearance of the secondary ossification center of the tibia and is linked to the practice of sports with an explosive component. In the present study, a review of the factors related to its appearance, diagnosis and treatment was carried out. Its appearance seems to be multifactorial and related to multiple morphological, functional, mechanical and environmental factors. Given all the above, risk factor reduction and prevention seem the most logical strategies to effectively prevent the appearance of the condition. In addition, it is essential to create prevention programs that can be objectively assessed and would allow to stop the progress of the pathology, particularly in those sports where high forces are generated on the insertion zone of the patellar tendon at sensitive ages. More studies are needed to clarify which type of treatment is the most appropriate—specific exercises or the usual care treatment.

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Conservative treatment of Osgood-Schlatter disease among young professional soccer players

Cited by 17 publications

References 27 publications

Therapeutic interventions in Osgood-Schlatter disease

Therapeutic interventions in Osgood-Schlatter disease

The growth of scientific publications in 2020: a bibliometric analysis based on the number of publications, keywords, and citations in orthopaedic surgery

Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review

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