Bergami G, Barbuti D, Pezzoli F
Servizio di Radiologia, Ospedale Pediatrico Bambino Gesù di Roma.
Radiol Med. 1994 Oct;88(4):368-72.
The Osgood-Schlatter disease affects the patellar tendon in its attachment to the tibial tuberosity. It is quite frequent in adolescents, especially in young males practising sports. Its diagnosis is mainly clinical. The findings of tenderness and focal swelling of the tibial tuberosity are typical of this condition. The Osgood-Schlatter disease can damage bone, cartilage, tendon and serous bursa. US yields complete information on the involvement of these structures. High-resolution US of the knee was performed on 70 patients with clinically suspected Osgood-Schlatter disease. More or less apparent cartilage swelling was demonstrated in 100% of our patients, tibial tuberosity fragmentation in 75%, diffuse thickening of the patellar tendon, at times inhomogeneous, in 22% and finally bursitis of the infrapatellar bursa was demonstrated in 17% of our patients. US provides complete information on the involvement of the tibial tuberosity and of the surrounding soft tissues, thus proving to be a simple and reliable method to diagnose the Osgood-Schlatter disease. Moreover, US is suitable for the periodical follow-up of disease course.
奥斯古德-施拉特病影响髌腱在胫骨结节处的附着。该病在青少年中相当常见，尤其是在从事体育运动的年轻男性中。其诊断主要依靠临床症状。胫骨结节压痛和局部肿胀是这种疾病的典型表现。奥斯古德-施拉特病可损害骨骼、软骨、肌腱和滑囊。超声能提供有关这些结构受累情况的完整信息。对70例临床怀疑患有奥斯古德-施拉特病的患者进行了膝关节高分辨率超声检查。结果显示，100%的患者存在不同程度的软骨肿胀，75%的患者有胫骨结节碎裂，22%的患者髌腱弥漫性增厚，有时不均匀，最后17%的患者出现髌下囊滑囊炎。超声能提供有关胫骨结节及周围软组织受累情况的完整信息，因此证明是诊断奥斯古德-施拉特病的一种简单可靠的方法。此外，超声适用于对疾病病程的定期随访。
