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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2006, Number 1

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Acta Ortop Mex 2006; 20 (1)

Osgood-Schlatter disease. Conservative therapy

García-Muñoz M, Rodríguez-Gutiérrez MC

Language: Spanish
References: 13
Page: 21-25
PDF size: 71.49 Kb.


ABSTRACT

Objective. The aim of this study was to describe the results of a conservative treatment in patients with Osgood-Schlatter disease. Material and methods. A prospective longitudinal study was made throughout a year period (November 2002 – November 2003) at the Athletic Department (Dirección General de Actividades Deportivas y Recreativas de la UNAM), with individuals that were diagnosed with Osgood-Schlatter disease and were treated with a conservative therapy of AINES (diclofenaco 50 mg VO, every 12 hours for 10 days) criotherapy, interferential currents and laser therapy. Mechanic therapy through strengthening of quadriceps and hamstrings, also relative resting periods away from their normal physical activity. Results. A total of 13 patients, with an average of 12.8 ± 4.0 years, 11 males 84.6 percent and 2 females (15.4 percent). The diagnosis was made clinically in the total 13 (100 percent) of the patients and in 11 cases (84.6 per cent), radiographic images were utilized (AP and lateral of both knees). The findings were five (38 percent) in bilateral form, three (23 percent) in right knee and five (38 percent) in left knee. Findings also proved that five individuals (38.46 percent) shoed improvement after three weeks, four (30.76 percent) after four weeks and four (30.76 percent) after five weeks. After one year of follow through none of the patients reported to relapse into.


REFERENCES

  1. Kujala UM, Kvist M, Heinonen O: Osgood-Schlatter´s disease in adolescent athletes. Retrospective study of incidence and duration. Am J Sports Med 1985; 13(4): 236-241.

  2. Andrew K: Chang:Osgood-Schlatter Disease, E Medicine, 2(5). www.emedicine.com/emerg/topic347.htm. Accessed May 22 2001.

  3. Rodríguez C, Echegoyen S: Lesiones en el fútbol. 1a ed. Fomento Editorial UNAM 2003: 128-131.

  4. Wall EJ: Osgood-Schlatter disease: Practical Treatment for a Self-Limiting Condition. The Physician Sportsmed Vol 26 File://A: The%20Physician%20and% 20Sportsmedicine%20Osgood-Schlatter% 20Disease.htm. Accessed March 98.

  5. Woolfrey BF, Chandler EF: Manifestations of Osgood-Schlatter disease in late teen age and early adulthood. J Bone Joint Surg (Am) 1960; 42: 327-332.

  6. Ehrenborg G: The Osgood-Schlatter lesion: A clinical study of 170 cases. Acta Chir Scand 1962; 124: 89-105.

  7. Maseide T: Treatment of Osgood-Schlatter’s lesion, in Bachl N. Protocol Suckert R. (eds): Proceedings of the World Congress of Sports Medicine Viena 1982. Wein-München-Baltimore, Urban & Schuarzenberg 1964: 810-814.

  8. Moiser S, Stanitski C: Acute tibial tubercle avulsion fractures. J Pediatr Othop 2004; 24(2): 181-184.

  9. Meisterling RC, Wall E, Meisterling M: Coping With Osgood-Schlatter Disease. The Physician Sportsmed 1998; 26(3): 29-34.

  10. Crespo S, Cristofini PX, Blanco M, Heuleu JN: La enfermedad de Osgood-Schlatter. A propósito de 14 casos. Archivos de Medicina del Deporte. 1991; 8(30): 161-167.

  11. The Journal of Family Practice, What is the best treatment for Osgood-Schlatter disease? www.jfponline.com/content/2004/02/jfp_0204_00153.asp. Accessed February 2004; 53(2).

  12. Levine J, Kashyaps: A New conservative treatment of Osgood-Schlatter´s disease. Clin Orthop 1981; 158: 126-128.

  13. Engel A, Windhager R: Importance of the osicle and therapy of the Osgood-Schlatter disease. Sportverletz Sportschaden 1987; 1(2): 100-108.




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