Katz J F
Clin Orthop Relat Res. 1981 Jul-Aug(158):70-6.
Nonarticular osteochondroses represent disordered enchondral ossification of epiphysis or apophysis at specific sites of muscle/tendon insertions or ligament attachments. Traditionally, osteochondroses have been identified by eponymic proper names. A generic classification is based upon the relationship of excessive or repetitive traction in occasional combination with direct pressure at discrete anatomical sites. The following are models of the several varieties: Osgood-Schlatter syndrome, typifying muscle/tendon stress on the tibial tuberosity; medial epicondylosis (Adams), resulting from forearm and elbow stress generated by muscles and creating traction through the ulnar collateral ligament attachment; and Sever's syndrome (calcaneal apophysis), associated with tension at either end of the calcaneal apophysis in combination with direct impact pressure. The general characteristics of this group include symptoms of pain or tenderness, timed appearance coincident with the developmental sequence of the apophysis, and generally symptomatic management.
非关节性骨软骨炎表现为在肌肉/肌腱附着点或韧带附着的特定部位，骨骺或骨突的软骨内成骨紊乱。传统上，骨软骨炎是通过专有名称来识别的。一般分类基于偶尔伴有离散解剖部位直接压力的过度或重复性牵引关系。以下是几种类型的模型：奥斯古德-施拉特综合征，代表胫骨结节处的肌肉/肌腱应力；内侧上髁炎（亚当斯病），由肌肉产生的前臂和肘部应力通过尺侧副韧带附着处产生牵引所致；以及塞弗综合征（跟骨骨突），与跟骨骨突两端的张力以及直接撞击压力有关。该组疾病的一般特征包括疼痛或压痛症状、与骨突发育顺序一致的定时出现，以及通常的对症治疗。
