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Long-term functional and sonographic outcomes in Osgood–Schlatter disease

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To evaluate the sonographic characteristics, functional aspects and life quality of a group of adolescent patients 2 years after having been diagnosed with Osgood–Schlatter disease and compare them with an age-matched healthy control group.

Methods

The study was conducted on eighteen Osgood–Schlatter patients with unilateral involvement and 14 age-matched healthy controls. The Flaviis classification and patellar tendon characteristics were observed using a GE Logiq 9 scanner. Broad and vertical jump tests were used for jumping performance. The coordination, proprioception, strength and endurance functions were assessed with the Functional Squat System. For the quality of life, the SF-36 questionnaire was used. The Wilcoxon test for the patients’ initial and second-year assessment and Mann–Whitney U test for the comparison between the patient and control groups were used.

Results

By the end of second year, 38.9 % of the patients had totally recovered. The patellar tendon lengthened, distal diameter and distal area of the tendon had lessened, and no significant difference was observed between patient and control groups (n.s). Improvements were detected for the bilateral broad jump test scores, the quality of life and coordination of the patients after 2 years (p < 0.05). The average power of endurance and the total work of strength were significantly higher in control group (p < 0.05).

Conclusions

According to the sonography results 2 years after diagnosis, nearly half of the patients had totally recovered. Coordination was the only parameter that improved over the 2-year period. The patient group strength and endurance function remained lower than the control group.

Level of evidence

III.

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Authors and Affiliations

  1. School of Physical Therapy and Rehabilitation, Ahi Evran University, 40200, Kirsehir, Turkey

    Derya Ozer Kaya

  2. Department of Radiology, Ankara Numune Training and Research Hospital, 06100, Ankara, Turkey

    Ugur Toprak

  3. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, 06100, Ankara, Turkey

    Gul Baltaci & Baran Yosmaoglu

  4. Department of Orthopedics and Traumatology, Faculty of Medicine, Gazi University, 06500, Ankara, Turkey

    Hamza Ozer

Authors
  1. Derya Ozer Kaya
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  2. Ugur Toprak
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  3. Gul Baltaci
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  4. Baran Yosmaoglu
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  5. Hamza Ozer
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Correspondence to Derya Ozer Kaya.

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Kaya, D.O., Toprak, U., Baltaci, G. et al. Long-term functional and sonographic outcomes in Osgood–Schlatter disease. Knee Surg Sports Traumatol Arthrosc 21, 1131–1139 (2013). https://doi.org/10.1007/s00167-012-2116-1

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  • DOI: https://doi.org/10.1007/s00167-012-2116-1

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