The Etiology and Risk Factors of Osgood–Schlatter Disease: A Systematic Review

Lucenti, Ludovico; Sapienza, Marco; Caldaci, Alessia; Cristo, Claudia de; Testa, Gianluca; Pavone, Vito

doi:10.3390/children9060826

Cited by 8 publications

(7 citation statements)

References 27 publications

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“…In agreement with previous studies [ 9 – 11 , 28 , 32 , 47 ], the decreased flexibility of the quadriceps was a risk factor for OSD development, and the quadriceps flexibility range of 35° was found to be the most appropriate cut-off point for prognostic screening of individuals at high risk of OSD development. This finding suggests that OSD prevention should focus on young athletes whose quadriceps flexibility is larger than 35°.…”

Section: Discussionsupporting

confidence: 91%

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Developmental stage and lower quadriceps flexibilities and decreased gastrocnemius flexibilities are predictive risk factors for developing Osgood–Schlatter disease in adolescent male soccer players

Takei

Torii

Taketomi

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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Purpose This study aimed to elucidate the influential predictive risk factors of Osgood–Schlatter disease (OSD) on the support (non-kicking) leg among adolescent soccer players considering peak height velocity (PHV) age and investigate the cut-off values of the predictive variables. Methods A cohort of 302 Japanese adolescent male soccer players aged 12–13 years were followed over 6 months. All players underwent physical examination, tibial tubercle ultrasonography, anthropometric and whole-body composition measurements, and muscle flexibility test of the support leg at the baseline. The developmental stage was evaluated from the PHV age. The OSD of the support leg was diagnosed 6 months later; players were divided into the OSD and control (CON) groups. The predictive risk factors were analyzed by multivariate logistic regression analysis. Results There were 42 players who had developed OSD at baseline and they were excluded from the study. Among the 209 players, 43 and 166 belonged to the OSD and CON groups, respectively. The predictive risk factors of OSD development were PHV age ± 6 months at baseline (p = 0.046), apophyseal stage of tibial tuberosity maturity at baseline (p < 0.001), quadriceps flexibility ≥ 35° at baseline (p = 0.017), and decrease in gastrocnemius flexibility in 6 months (p = 0.009). Conclusion PHV age ± 6 months at baseline, apophyseal stage of the tibial tuberosity at baseline, quadriceps flexibility ≥ 35° at baseline, and decrease in gastrocnemius flexibility in 6 months are predictive risk factors of OSD development in the support leg among adolescent male soccer players. It is crucial to know the PHV age of each player, and not only the flexibility of quadriceps muscle but also the gastrocnemius should be monitored to predict OSD. Level of evidence II.

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Section: Discussionsupporting

confidence: 91%

“…OSD develops when the tibial tuberosity maturity is at the apophyseal or epiphyseal stage [8, 26]. Commonly reported risk factor is reduced flexibility of the quadriceps femoris muscle during the growth spurt [9, 10, 24, 28, 47]; however, the cut‐off value for quadriceps femoris flexibility during OSD onset has never been investigated.…”

Section: Introductionmentioning

confidence: 99%

Developmental stage and lower quadriceps flexibilities and decreased gastrocnemius flexibilities are predictive risk factors for developing Osgood–Schlatter disease in adolescent male soccer players

Takei

Torii

Taketomi

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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“…However, they observed a statistically higher risk of PJI (odds ratio: 1.2, 95% confidence interval: 1.058-1.347, P = 0.045) if injections were administered within three months prior to THA [12]. Similarly, Lucenti et al, in their systematic review on infection risk in patients who received corticosteroid injections before TSA or shoulder arthroscopy, determined that the risk of postoperative infection was greater when injections were given within three months of surgery [13].…”

Section: Discussionmentioning

confidence: 98%

Postoperative Infection Following Hip Arthroscopy in Patients Receiving Preoperative Intra-articular Injections: A Systematic Review and Meta-Analysis

Aamer,

Tokhi,

Asim

et al. 2024

Cureus

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Intra-articular injections prior to hip arthroscopy are often used to diagnose and conservatively manage hip pathologies, such as femoroacetabular impingement, labral tears, and chondral lesions. As a diagnostic tool, the relief of hip pain following an intra-articular injection helps pinpoint the primary source of pain and assists surgeons in recommending arthroscopic intervention for underlying intra-articular pathologies. However, when injections are not sufficiently spaced apart in time prior to hip arthroscopy, there is an elevated risk of postoperative infection. This systematic review aims to assess whether preoperative intra-articular injections prior to hip arthroscopy are associated with an increased risk of postoperative infection and to determine the safety timeframe for administering such injections prior to the procedure. A comprehensive search was conducted in the PubMed, Embase, and Cochrane Library databases to identify studies examining the relationship between preoperative intra-articular injections and postoperative infection following hip arthroscopy. A meta-analysis was conducted to compare the risk of infection between patients who received injections prior to hip arthroscopy at varying intervals and those who did not receive any preoperative injections. Five studies were included (four level III and one level IV), which consisted of 58,576 patients (58.4% female). Injections administered anytime prior to hip arthroscopy posed a significantly higher risk of infection compared to no history of prior injections (risk ratio: 1.45, 95% confidence interval: 1.14-1.85, P = 0.003). However, upon subanalysis, the risk of infection was significantly higher among patients who received injections within three months prior to hip arthroscopy compared to those who did not receive injections (risk ratio: 1.55, 95% confidence interval: 1.19-2.01, P = 0.001). Additionally, no significant difference in infection risk was observed when injections were administered more than three months before hip arthroscopy compared to no injections (risk ratio: 1.05, 95% confidence interval: 0.56-1.99, P = 0.87). The findings suggest that patients undergoing hip arthroscopy who have previously received intra-articular injections may face a statistically higher risk of postoperative infection, particularly when the injection is administered within three months prior to hip arthroscopy. Consequently, surgeons should exercise caution and avoid administering intra-articular injections to patients scheduled for hip arthroscopy within the subsequent three months to mitigate the increased risk of infection.

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“…Ein Röntgenbild bestätigte die Diagnose. Wegen eines geringen Vitamin-D-Spiegels wurde eine Substitution durchgeführt 27 .…”

Section: Klinikunclassified

Das Kniegelenk

Peters

2024

DO - Deutsche Zeitschrift für Osteopathie

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Das Kniegelenk ist das größte Gelenk des Körpers und seine Biomechanik äußerst komplex. In diesem Artikel werden die Einzigartigkeit des Kniegelenks in verschiedenen Aspekten dargestellt, die Komplexität der Symptome geschildert und ein Überblick über Untersuchung und Behandlungsmöglichkeiten gegeben. Die Behandlung bezieht sich oft auf Strukturen, die weiter entfernt vom Kniegelenk lokalisiert sind. Ferner wird erläutert, wie dieses Gelenk in Gesundheit und Krankheit funktioniert, welchen Einflüssen es unterliegt und welche Werkzeuge zur Verfügung stehen, um es zu untersuchen. Es werden mögliche Behandlungsansätze anhand einiger Beispiele aus der Praxis vorgestellt.

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The Etiology and Risk Factors of Osgood–Schlatter Disease: A Systematic Review

Cited by 8 publications

References 27 publications

Developmental stage and lower quadriceps flexibilities and decreased gastrocnemius flexibilities are predictive risk factors for developing Osgood–Schlatter disease in adolescent male soccer players

Developmental stage and lower quadriceps flexibilities and decreased gastrocnemius flexibilities are predictive risk factors for developing Osgood–Schlatter disease in adolescent male soccer players

Postoperative Infection Following Hip Arthroscopy in Patients Receiving Preoperative Intra-articular Injections: A Systematic Review and Meta-Analysis

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