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We have treated most cases with Osgood-Schlatter disease conservatively by avoiding strenuous activity or by a specially made knee supporter. However, once a mobile and tender ossicle has formed at the tibial tubercle, we do not believe that the lesion will respond well to conservative measures and do believe that early surgical treatment is indicated rather than subjecting the patient to prolonged limitation of activity. From October 1981 to August 1984, six patients were treated surgically by resection of a separate ossicle from the proximal aspect of the tibial tubercle. The duration of the symptoms of these patients at the time of operation ranged from 5 months to 5 years, with a mean of 2.7 years. Their mean age at operation was 14 years, with a range of 12 to 16 years. Within 3 months postoperatively, all patients had complete relief of symptoms and returned to full activity including their various sports activities. Histologically the excised specimens were composed of thickened trabeculae with fatty marrow, cartilage and fibrous tissue. Some specimens showed a bursa and granulation tissue between the ossicle and the tibial tubercle which suggested pseudarthroses.
- 西日本整形・災害外科学会の論文
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