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Physical Therapy in Sport : Official... May 2021Osgood-Schlatter disease (OSD) is a sport- and growth-associated knee pathology with locally painful alterations around the tibial tuberosity apophysis. Up to 10% of...
OBJECTIVES
Osgood-Schlatter disease (OSD) is a sport- and growth-associated knee pathology with locally painful alterations around the tibial tuberosity apophysis. Up to 10% of adolescents are affected by OSD. Treatment is predominantly conservative. The aims of this systematic review are to comprehensively identify conservative treatment options for OSD, compare their effectiveness in selected outcomes, and describe potential research gaps.
METHODS
A systematic literature search was conducted using CENTRAL, CINAHL, EMBASE, MEDLINE, and PEDro databases. In addition, ongoing and unpublished clinical studies, dissertations, and other grey literature on OSD were searched. We also systematically retrieved review articles for extraction of treatment recommendations.
RESULTS
Of 767 identified studies, thirteen were included, comprising only two randomised controlled trials (RCTs). The included studies were published from 1948 to 2019 and included 747 patients with 937 affected knees. Study quality was poor to moderate. In addition to the studies, 15 review articles were included, among which the most prevalent treatment recommendations were compiled.
CONCLUSION
Certain therapeutic approaches, such as stretching, have apparent efficacy, but no RCT comparing specific exercises with sham or usual-care treatment exists. Carefully controlled studies on well-described treatment approaches are needed to establish which conservative treatment options are most effective for patients with OSD.
Topics: Adolescent; Adult; Child; Conservative Treatment; Exercise; Exercise Therapy; Female; Humans; Knee; Knee Joint; Male; Muscle Stretching Exercises; Osteochondrosis; Pain; Randomized Controlled Trials as Topic; Review Literature as Topic; Sports; Tibia; Treatment Outcome; Young Adult
PubMed: 33744766
DOI: 10.1016/j.ptsp.2021.03.002 -
Medicine Dec 2021The purpose of this case study was to identify factors of bilateral etiopathogenesis of Osgood-Schlatter disease (OSD) and those supporting the effectiveness of the...
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.
Topics: Athletic Injuries; Child; Conservative Treatment; Disease Management; Exercise Therapy; Female; Humans; Knee Injuries; Knee Joint; Osteochondrosis; Patellar Ligament; Tibia; Ultrasonography
PubMed: 34918694
DOI: 10.1097/MD.0000000000028257 -
Journal of Orthopaedic Surgery (Hong... 2020
Topics: Adolescent; Bone Diseases, Developmental; Humans; Osteochondrosis; Tibia
PubMed: 31898473
DOI: 10.1177/2309499019889902 -
Tidsskrift For Den Norske Laegeforening... Jun 2021
Topics: Humans; Osteochondrosis
PubMed: 34182736
DOI: 10.4045/tidsskr.21.0248 -
International Journal of Molecular... Jun 2020Chondrocyte biology is a hot topic, because osteoarthritis (OA) is a serious problem in an aging society, but there are no fundamental therapeutic drugs [...].
Chondrocyte biology is a hot topic, because osteoarthritis (OA) is a serious problem in an aging society, but there are no fundamental therapeutic drugs [...].
Topics: Animals; Chondrocytes; Gene Expression Regulation; Humans; Osteoarthritis; Osteochondrosis
PubMed: 32545161
DOI: 10.3390/ijms21114161 -
Journal of Ultrasound Dec 2019Ultrasound (US) is the main imaging modality for the evaluation of pediatric patients with musculoskeletal diseases; particularly, it is an appropriate and reliable tool... (Review)
Review
Ultrasound (US) is the main imaging modality for the evaluation of pediatric patients with musculoskeletal diseases; particularly, it is an appropriate and reliable tool for diagnosis, follow-up and treatment of several musculoskeletal pathologies affecting the pediatric age. High-frequency (10-15 MHz) and high-resolution probes provide very lofty quality images, allowing a detailed study of the pediatric musculoskeletal system. Among the well-known advantages of this technique-such as the absence of ionizing radiations, its low cost and wide availability-US can as well rely on some intrinsic characteristics of the pediatric musculoskeletal system that can improve its diagnostic capability. The unossified portions of the pediatric skeleton and the absence of a thickened adipose tissue allow US to be highly effective and reliable in the study of muscles, tendons and cartilage. Lower-frequency sectoral transducers can be required in the study of some joints such as the shoulder or the hip, as well as in the examination of deep soft-tissue lesions. Furthermore, both color and spectral Doppler play an important role in the examination of soft-tissue lesions and synovial phlogosis. In this pictorial essay the main pathological conditions of pediatric musculoskeletal system will be examined, such as painful hip, evolutionary hip dysplasia, osteochondrosis, trauma-related pathologies and juvenile idiopathic arthritis.
Topics: Adolescent; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Musculoskeletal Diseases; Musculoskeletal System; Ultrasonography
PubMed: 30414082
DOI: 10.1007/s40477-018-0337-y -
Animals : An Open Access Journal From... Dec 2021Humans who care for pigs prefer an environment that not only allows the pigs to express their natural behaviors but also limits the development of aggression and... (Review)
Review
Humans who care for pigs prefer an environment that not only allows the pigs to express their natural behaviors but also limits the development of aggression and stereotypes. Most of the behavioral and health problems encountered by pigs in barren, conventional conditions are solved by alternative housing systems. However, it is not known whether these systems are advantageous in terms of the performance of pigs. In this work, we review the effects of housing systems on pigs' behaviors and performance, which are among the major indicators of the welfare of these animals. Research results point out that outdoor systems are more ideal for sows and fatteners than buildings. Nonetheless, outdoor housing is associated with two major effects in both groups: increased activity due to environmental exploration and higher space allowance, and increased incidence of injuries compared to indoor systems. Sows are more active when housed in groups, but they experience an increased frequency of injuries. According to the literature, group-housed sows give birth to healthy piglets with good daily weight gains. The difference in the fattening and slaughter performance of pigs raised indoors vs. outdoors remains unclear, and the results reported so far are inconsistent. Outdoor systems seem to be associated with a higher incidence of osteochondrosis and lesions of elbow and hock joints, whereas indoor systems cause a greater degree of body soiling in pigs. Based on the reviewed literature, it may be concluded that outdoor housing helps to solve behavioral issues in pigs but leads to other problems in pig production.
PubMed: 34944259
DOI: 10.3390/ani11123484