Lanning P, Heikkinen E
Department of Diagnostic Radiology, University of Oulu, Finland.
J Pediatr Orthop. 1991 Jul-Aug;11(4):538-40. doi: 10.1097/01241398-199107000-00023.
Ultrasound was used to compare the knees of 10 boys and four girls with typical clinical Osgood-Schlatter lesions with 27 symptomless knees. The normal sonographic changes of the tibial tubercle with advancing age are described. In all children with Osgood-Schlatter lesions, the distal patellar tendon thickened and became more echogenic than normal tendons, and an anechoic zone of edema was seen anterior to the tibial tuberosity. Four knees disclosed a thin shell-like elevated fragment of the tibial tuberosity seen as an echogenic surface. In 12 knees, single or multiple fragments of the tibial tuberosity were easily shown. Ultrasound is proposed as a simple, fast, and reliable method for the diagnosis of the Osgood-Schlatter lesion.
采用超声对10名患有典型临床奥-施二氏病损的男孩和4名女孩的膝盖与27个无症状膝盖进行比较。描述了随着年龄增长胫骨结节正常的超声变化。在所有患有奥-施二氏病损的儿童中，髌腱远端增厚，回声比正常肌腱更强，在胫骨结节前方可见无回声的水肿区。4个膝盖显示胫骨结节有薄壳状隆起碎片，表现为回声表面。在12个膝盖中，胫骨结节的单个或多个碎片很容易显示出来。超声被认为是诊断奥-施二氏病损的一种简单、快速且可靠的方法。
