Demirag Burak, Ozturk Cagatay, Yazici Zeynep, Sarisozen Bartu
Department of Orthopedic Surgery, Uludag University Medical School, Bursa, Turkey.
J Pediatr Orthop B. 2004 Nov;13(6):379-82. doi: 10.1097/01202412-200411000-00006.
Osgood-Schlatter disease (OSD) is a well-described clinical condition, although its origin remains controversial. Mechanical, growth or traumatic factors are suggested as causes of this lesion. Thirty-five patients were included in this study. Twenty of them had OSD (study group) and the remaining 15 adolescents constituted the control group. Magnetic resonance imaging of the knees was performed in all patients. The distance between the distal pole of the patella and the proximal margin of patellar tendon attachment to the tibial apophysis (A), the distance between the distal pole of the patella and the tibial tubercle epiphysis (B), the distance between the proximal margin of the patellar tendon attachment to the tibia and the tibial tubercle epiphysis (C) and the distance between the knee joint level and the tibial tubercle epiphysis (D) were measured. The ratio of the distance between the distal pole of the patella and the proximal margin of the patellar tendon attachment to the tibia to the distance between the distal pole of the patella and the tibial tubercle epiphysis (A : B) was lower in the study group. The ratio of the distance between the proximal margin of the patellar tendon attachment point to the tibia and the tibial tubercle epiphysis to the distance between the knee joint level and the tibial tubercle epiphysis (C : D) was higher in the control group. We conclude that if the patellar tendon attaches more proximally and in a broader area to the tibia, this might probably cause OSD.
奥斯古德-施拉特病（OSD）是一种已被充分描述的临床病症，尽管其病因仍存在争议。机械、生长或创伤因素被认为是这种病变的成因。本研究纳入了35名患者。其中20人患有OSD（研究组），其余15名青少年构成对照组。对所有患者的膝盖进行了磁共振成像检查。测量了髌骨远端极点与髌腱附着于胫骨骨骺近端边缘之间的距离（A）、髌骨远端极点与胫骨结节骨骺之间的距离（B）、髌腱附着于胫骨近端边缘与胫骨结节骨骺之间的距离（C）以及膝关节水平与胫骨结节骨骺之间的距离（D）。研究组中，髌骨远端极点与髌腱附着于胫骨近端边缘之间的距离与髌骨远端极点与胫骨结节骨骺之间的距离之比（A : B）较低。对照组中，髌腱附着点至胫骨近端边缘与胫骨结节骨骺之间的距离与膝关节水平与胫骨结节骨骺之间的距离之比（C : D）较高。我们得出结论，如果髌腱在胫骨上附着位置更靠近近端且附着区域更宽，这可能会导致OSD。
