Relationship between the skeletal maturation of the distal attachment of the patellar tendon and physical features in preadolescent male football players

Nakase, Junsuke; Aiba, T; Goshima, Kenichi; Takahashi, Ryohei; Toratani, Tatsuhiro; Kosaka, Masahiro; Ohashi, Yoshinori; Tsuchiya, Hiroyuki

doi:10.1007/s00167-012-2353-3

Cited by 34 publications

(40 citation statements)

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“…The apophysis is relatively weak and a common area of injury in sports participants. 1 Nakase et al 24 evaluated the stages of tibial tuberosity development and the physical features of 200 knees in 100 male football players aged 10 to 15 years using ultrasound. They found that quadriceps muscle tightness increased with skeletal maturation, while hamstring tightness did not.…”

Section: Discussionmentioning

confidence: 99%

“… 23 The following ultrasonographic findings were also required: fragmentation of the bone and irregularity of the ossification center in US ( Figure 2 ). 3 , 9 , 11 , 22 , 24 , 29 The physical findings were compared with the respective stages of tibial tuberosity development. Institutional review board approval for the study was provided by our institution.…”

Section: Methodsmentioning

confidence: 99%

“… 3 , 9 , 11 , 17 , 22 , 29 Ehrenborg 13 evaluated the tibial tuberosity radiographically and classified its development into 4 stages: the cartilaginous stage, apophyseal stage, epiphyseal stage, and bony stage. Nakase et al 24 evaluated the stages of the tibial tuberosity development and physical features using ultrasound according to this classification. However, they did not evaluate the prevalence of OSD and in which stage(s) it occurred.…”

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confidence: 99%

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Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males

Ôsawa

Saitô

Kobayashi

et al. 2014

Orthopaedic Journal of Sports Medicine

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Background:Osgood-Schlatter disease (OSD) is a traction apophysitis of the tibial tuberosity. Ultrasonography (US) is able to detect pathologic changes, such as cartilage swelling and fragmentation of the tibial tubercle ossification center.Purpose:To compare the US stages of tibial tuberosity development and the physical features and prevalence of OSD in this patient cohort.Study Design:Cross-sectional study; Level of evidence, 3.Methods:Subjects included 238 males (n = 476 joints) with a mean age of 11.4 ± 1.6 years (range, 7-14 years). The tibial tuberosity development on US was divided into 3 stages: the cartilaginous stage (stage C), apophyseal stage (stage A), and epiphyseal stage (stage E). It was then investigated whether the subjects had pain in the tibial tuberosity on application of pressure. Age, height, body weight, body mass index (BMI), heel-buttock distance (HBD, cm), and straight-leg raise angle (SLRA) were evaluated. To confirm the diagnosis of OSD, the participant had to fulfill the following clinical criteria: pain with direct pressure on the tibial apophysis, fragmentation of the bone, and irregularity of the ossification center detected by US.Results:The tibial tuberosity was stage C in 195 knees, stage A in 105 knees, and stage E in 176 knees. The subjects’ heights, weights, and BMIs significantly increased with advancing development of the tibial tuberosity. The HBD increased in stage E (P < .01). The SLRA was not significantly different among groups. There was fragmentation of the bone and irregularity of the ossification center in 32 knees (6.8%): 0 in stage C, 21 (4.3%) in stage A, and 11 (2.3%) in stage E. Fragmentation of the bone and irregularity were observed significantly more often in stage A (P < .01). On the other hand, there were 10 joints with OSD (2.1%): 0 in stage C, 3 (0.6%) in stage A, and 7 (1.5%) in stage E. OSD was observed significantly more often in stage E than in the other stages (P < .05).Conclusion:The present study showed that the HBD increased from stage A to stage E. The prevalence of OSD was highest in stage E.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

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Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males

Ôsawa

Saitô

Kobayashi

et al. 2014

Orthopaedic Journal of Sports Medicine

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“…Using ultrasonography, we developed a novel classification system of skeletal maturation of the distal attachment of the patellar tendon [10]. The sonolucent stage (stage S) is characterized by the presence of a large amount of apophyseal cartilage.…”

Section: Introductionmentioning

confidence: 99%

Precise risk factors for Osgood–Schlatter disease

Nakase

Goshima

Numata

et al. 2015

Arch Orthop Trauma Surg

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“…Increased stiffness during the maximal rate of growth, has been linked to an increased injury risk in youth athletes [3]. Moreover, adolescents' cartilaginous structures like the articular surfaces, apophyses and physes, are in and of themselves more at risk for injury than mature bones as a result of growth [3,14,32]. It is supposed that after a period of growth, the cartilaginous structures are not immediately able to deal with a level of high stress, which could result in overuse syndromes like Osgood Schlatter disease, Morbus Sever disease [11].…”

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confidence: 99%

Anthropometric Injury Risk Factors in Elite-standard Youth Soccer

et al. 2015

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The aim of the study was to investigate whether an increased risk of injury occurrence can be determined through frequent anthropometric measurements in elite-standard youth soccer players. Over the course of one season, we followed 101 male elite-standard youth soccer players between 11 and 19 years of age. Height and body mass were monitored at monthly measurement intervals and fat percentage was assessed every 3 months by use of the sum of skinfold method. Growth in height (cm), alternations in body mass index (kg/m(2)), fat percentage and fat-free mass index (kg/m(2)) were calculated. Injuries were recorded in accordance with the recommendations of the FIFA Consensus Model for Injury Registration. Odds ratio scores and 95% confidence intervals were calculated using binary logistic regression analyses. The following anthropometric injury risk factors were identified: ≥ 0.6 centimeter growth per month (p=0.03; OR=1.63; 95% CI: 1.06-2.52), ≥ 0.3 kg/m(2) increase of body mass index value per month (p=0.03; OR=1.61; 95% CI: 1.04-2.49) and low fat percentage; i. e., < 7% for players aged 11-16 and < 5% for players over 16 years (p=0.01; OR=1.81; 95% CI: 1.18-2.76). Individual monitoring of anthropometrics provides useful information to determine increased risk of injury occurrence in elite-standard youth soccer.

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Relationship between the skeletal maturation of the distal attachment of the patellar tendon and physical features in preadolescent male football players

Cited by 34 publications

References 18 publications

Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males

Assessment of Osgood-Schlatter Disease and the Skeletal Maturation of the Distal Attachment of the Patellar Tendon in Preadolescent Males

Precise risk factors for Osgood–Schlatter disease

Anthropometric Injury Risk Factors in Elite-standard Youth Soccer

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