Étude d’une cohorte de 30 patients immobilisés avec une résine cruro-malléolaire pour une maladie d’Osgood-Schlatter

Duperron, Louise; Haquin, André; Berthiller, Julien; Chotel, Franck; Pialat, Jean‐Baptiste; Luciani, J. F.

doi:10.1016/j.scispo.2016.04.014

Cited by 7 publications

(10 citation statements)

References 23 publications

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“…Holden et al 23 found that those with less tissue involvement on baseline US were less likely to report pain at a 24‐month follow‐up. Similarly, in a retrospective study on immobilization, the presence of ossicles was associated with a significant delay in return to sports 17 . This, taken together with findings that ossicles are related to persistent pain beyond maturation of the tibial tuberosity, indicates that may, therefore, be a promising way to characterize severity on imaging and those at greater risk of a poor prognosis.…”

Section: Discussionmentioning

confidence: 85%

“…Of the 40 studies included, 25 studies reported on OSD‐related imaging findings 4‐7,9,11‐30 . Most studies used radiography (n = 10) or US (n = 6), with the remaining studies using radiography and US (n = 4), radiography and MRI (n = 3), MRI only (n = 1) and one study using both CT, MRI, radiography, and bone scintigraphy (n = 1).…”

Section: Resultsmentioning

confidence: 99%

“…Seven prospective studies 5,9,16,19,21,23,26 and six retrospective 11,14,17,18,25,31 reported on imaging findings at follow‐up. Follow‐up time points ranged from 5 months to 10 years from the initial assessment.…”

Section: Resultsmentioning

confidence: 99%

“…There may be different sub‐groups or changes over time with severity; however, this is unclear. Both studies by Hirano 48 and Duperron 17 described “severity” based on the extent of tissue involvement, ranging from, for example, cartilage swelling only to swelling, plus fragmentation plus soft‐tissue involvement. As neither included controls, the validity of these scales is lacking.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of imaging findings in patients with Osgood‐Schlatter disease

Sørensen

Rathleff

Dean

et al. 2021

Translational Sports Med

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This systematic review aimed to describe the imaging characteristics of Osgood‐Schlatter (OSD) compared with controls and imaging findings over time. A systematic search was conducted in Embase, CINAHL, and PubMed from inception until July 2021. Forty studies were eligible and included based on inclusion criteria on OSD diagnosis, the number of patients, and imaging outcomes. In patients with OSD, but not controls, findings were soft‐tissue swelling of the cartilage and infrapatellar bursa, tendon changes, increased Doppler flow, and fragmentation of the secondary ossification center. Follow‐up studies reported improvements over time, but some identified persistent tendon thickening and/or ossicles. Adults with OSD generally present with free ossicles. Findings were inconsistent on whether different morphometric features were altered in OSD compared to controls. OSD patients were classified within the early stages of tibial tuberosity maturation. This review documents that OSD presents with tissue alterations that do not appear in controls or the patient's asymptomatic knee. Notably, a large portion had tendon involvement, and ossicles seem to be associated with residual symptoms after maturation. Standard imaging of adolescents with OSD needs to be carefully considered when determining if tissue alterations are related to disease progression or part of the normal maturation.

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Section: Discussionmentioning

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of imaging findings in patients with Osgood‐Schlatter disease

Sørensen

Rathleff

Dean

et al. 2021

Translational Sports Med

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show abstract

“…One exploratory study 24 found that those without imaging findings were less likely to have pain at follow-up, while another found that the presence of ossicles was associated with delayed return to sport. 25 Our findings build on this exploratory research by using a strong study design and blinding and underscore the relevance of potential surrogate biomarkers in the pathophysiology of OSD. However, many other factors may be involved in the relation between structural findings and pain severity and may modulate the adolescent's pain experience (e.g., physical activity).…”

Section: Relationship Between Pathophysiological Findings and Symptomsmentioning

confidence: 61%

A comprehensive MRI investigation to identify potential biomarkers of Osgood Schlatter disease in adolescents: A cross sectional study comparing Osgood Schlatter disease with controls

Sørensen,

Holden,

Oei

et al. 2024

Scandinavian Med Sci Sports

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BackgroundOsgood–Schlatter disease (OSD) is the most common knee pain complaint among adolescents playing sports. Despite this, there remains controversy over the pathophysiology and whether specific anatomical characteristics are associated with OSD.PurposeThis study aimed to systematically and comprehensively characterize adolescents with OSD using magnetic resonance imaging (MRI) compared to pain‐free controls, including both tissue abnormalities that may be associated with OSD, as well as anatomical characteristics. A secondary objective was to identify potential imaging biomarkers associated with pain.Study DesignCross‐sectional study.MethodsAdolescents with OSD and controls were recruited from 2020 to 2022. Following a clinical exam, demographics, pain, sports participation, and Tanner stage were collected. Knee MRI was conducted on the participants' most symptomatic knee (OSD) or the dominant leg (controls).ResultsSixty‐seven adolescents (46 with OSD and 30 controls) were included. 80% of participants with OSD had at least one tissue alteration compared to 54% of controls. Compared to controls, OSD had 36.3 (95%CI 4.5 to 289.7) higher odds of bony oedema at the tibial tuberosity, and 32.7 (95%CI 4.1 to 260.6) and 5.3 (95%CI 0.6 to 46.2) higher odds of bony oedema at the tibial epiphysis and metaphysis respectively. Participants with OSD also had higher odds of fluid/oedema at the patellar tendon (12.3 95%CI 3.3 to 46.6), and superficial infrapatellar bursitis (7.2). Participants with OSD had a more proximal tendon attachment (mean tibial attachment portion difference, −0.05, 95% CI: −0.1 to 0.0, p = 0.02), tendon thickness (proximal mean difference, −0.09, 95% CI: −0.4 to 0.2, p = 0.04; distal mean difference, −0.6, 95% CI: −0.9 to −0.2, p = 0.01). Those with bony/tendon oedema had 1.8 points (95% CI: 0.3 to 3.2) higher pain on palpation than those without (t = −2.5, df = 26.6, p = 0.019), but there was no difference between these groups in a functional single leg pain provocation.ConclusionAdolescents with OSD present with tissue and structural abnormalities on MRI that differed from age‐matched controls. The majority had findings in the patellar tendon and bone, which often co‐occurred. However, a small proportion of OSD also presents without alterations. It appears these findings may be associated with clinical OSD‐related pain on palpation of the tibial tuberosity.Clinical RelevanceOur highlight the pathophysiology on imaging, which has implications for understanding the mechanism and treatment of OSD.

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Tendinopathies of the Patellofemoral Joint: A Case-Based Approach: Osgood–Schlatter’s Disease in a 12-Year-Old

Martinez-Cano

Maine

Tompkins

2021

The Patellofemoral Joint

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Étude d’une cohorte de 30 patients immobilisés avec une résine cruro-malléolaire pour une maladie d’Osgood-Schlatter

Cited by 7 publications

References 23 publications

A systematic review of imaging findings in patients with Osgood‐Schlatter disease

A systematic review of imaging findings in patients with Osgood‐Schlatter disease

A comprehensive MRI investigation to identify potential biomarkers of Osgood Schlatter disease in adolescents: A cross sectional study comparing Osgood Schlatter disease with controls

Tendinopathies of the Patellofemoral Joint: A Case-Based Approach: Osgood–Schlatter’s Disease in a 12-Year-Old

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