Osgood-Schlatter Disease in an Adult Athlete: A Case Report and Review of the Literature

Arash Sharafat  Vaziri; Nazanin  Rahimdoost; Soodabeh  Esfandiary; Fardis  Vosough; Mehdi  Moezi; Iman Menbari  Oskouie

doi:10.18502/jost.v10i3.16790

Arash Sharafat Vaziri Fellowship of Knee, Sport and Reconstrution Surgery, Department of Orthopedics and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, Iran
Nazanin Rahimdoost General Practitioner, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Soodabeh Esfandiary Resident, Department of Orthopedics and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, Iran
Fardis Vosough Fellowship of Knee, Sport and Reconstrution Surgery, Department of Orthopedics and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Mehdi Moezi Fellowship of Knee, Sport and Reconstrution Surgery, Department of Orthopedics and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Iman Menbari Oskouie General Practitioner, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v10i3.16790

Keywords: Arthroscopic Surgery; Case Reports; Osgood-Schlatter Disease; Traction

Abstract

Background: Osgood-Schlatter disease (OSD), a form of traction apophysitis, predominantly affects adolescents engaged in high- impact activities. While conservative management is often effective, surgical intervention becomes necessary in refractory cases.

Case Report: A 29-year-old male athlete with persistent OSD symptoms underwent arthroscopic surgery after unsuccessful non- surgical treatments. Arthroscopic removal of the bony particle was undertaken using six portals with a novel setting (consisting of medial and lateral superior, standard, and inferior portals) to minimize the damage to the patellar tendon and intermeniscal ligaments. This setting of portals also obviates the need for fluoroscopy since it provides adequate visualization for confirmation of complete removal of the bony particle. The lower portals also provide more convenient access to the bony particle, minimizing the possibility of incomplete removal and persistence of symptoms. The patient experienced complete resolution of anterior knee pain and prominence within six months post-surgery. Arthroscopic removal of the ossicle involved the use of superior portals for optimal access and visualization. Low portals were strategically employed to eliminate the need for fluoroscopy, offering a unique advantage. Postoperative rehabilitation included immobilization followed by a gradual return to weight-bearing and full range of motion (ROM).

Conclusion: Arthroscopic removal remains the preferred method for treating OSD, emphasizing fewer complications. However, challenges related to limited access and anatomical restoration persist.