Mahlfeld K, Kayser R, Franke J, Merk H
Orthopädische Universitätsklinik, Otto-von-Guericke-Universität Magdeburg.
Ultraschall Med. 2001 Aug;22(4):182-5. doi: 10.1055/s-2001-16814.
The aim of our study was to asses the value of ultrasound in the diagnosis of M. Osgood-Schlatter. The results of the primary ultrasound examination were compared with the use of X-ray.
15 patients were included in our study (average age 11 - 17 years, 8 female, 7male). All patients get an X-ray of the knee in two or three images. There was a reference-group of 10 patients with 20 joints (average age 11 - 14 years).
We observed typical sonographic images in different stages of M. Osgood-Schlatter. The changes depended on the duration of the disease. In every case we found a thickness of the patellar tendon of more than 1 mm (stage I and II), a bursitis infrapatellaris (stage II) and a fragmentation of the cortical bone of the apophysis (stage II). In cases of stage III disease a thickness of the patellar tendon of less than 1 mm was to be seen. In healthy people the average thickness of the patella tendon was 4.8 mm (3.5 - 5.7 mm). The maximal difference between the left and the right side was 0.4 mm.
With the use ultrasound in cases of M. Osgood-Schlatter a reduced exposure of children to X-ray is possible. Ultrasound examination is a clear and easy way to diagnose the disease correctly and evaluate its course and cure.
本研究的目的是评估超声在诊断奥斯古德-施拉特病中的价值。将初次超声检查结果与X线检查结果进行比较。
15例患者纳入本研究（平均年龄11 - 17岁，女性8例，男性7例）。所有患者均拍摄膝关节X线片，共两至三张图像。有一个由10例患者20个关节组成的参照组（平均年龄11 - 14岁）。
我们观察到了奥斯古德-施拉特病不同阶段的典型超声图像。这些变化取决于病程。在每种情况下，我们都发现髌腱厚度超过1毫米（I期和II期）、髌下囊炎（II期）以及骨骺皮质骨碎裂（II期）。在III期疾病的病例中，可观察到髌腱厚度小于1毫米。在健康人群中，髌腱平均厚度为4.8毫米（3.5 - 5.7毫米）。左右两侧的最大差异为0.4毫米。
在奥斯古德-施拉特病病例中使用超声，可减少儿童接受X线照射。超声检查是正确诊断该病并评估其病程和治疗效果的一种清晰且简便的方法。
