Cosgarea A J, Weng M S, Andrews M
Division of Orthopaedic Surgery, Ohio State University, Columbus.
Arthroscopy. 1993;9(6):700-3. doi: 10.1016/s0749-8063(05)80511-0.
Osgood-Schlatter's disease (OSD) is generally felt to be a benign self-limited disorder. In a small number of patients a symptomatic free bone ossicle persists at the tibial insertion of the patellar tendon. We report the case of a collegiate soccer player with a history of OSD who sustained an acute rupture of his anterior cruciate ligament (ACL). The presence of a free bone ossicle in his patellar tendon necessitated modification of our routine approach to ACL reconstruction. Awareness of the potential for patellar tendon graft problems in patients with previous OSD will allow surgeons to plan alternative reconstructive techniques based on the specific needs of the patient.
奥斯古德-施拉特病（OSD）通常被认为是一种良性自限性疾病。少数患者在髌腱胫骨附着处会持续存在有症状的游离骨小体。我们报告一例有OSD病史的大学足球运动员，他发生了前交叉韧带（ACL）急性断裂。其髌腱中存在游离骨小体，这使得我们对ACL重建的常规方法需要进行调整。了解既往患有OSD的患者发生髌腱移植物问题的可能性，将使外科医生能够根据患者的具体需求规划替代重建技术。
