J Korean Radiol Soc.  1995 Apr;32(4):607-612.

Sonographic Diagnosis of Osgood-Schlatter Disease

• Lee SW
• Choi HY
• Baek SY
• Lee SB

Abstract

PURPOSE
The purpose of this study is to assess the sonographic findings of Osgood-Schlatter disease with correlation to radiographic findings and to determine value of sonography in the diagnosis of Osgood-Schlatter disease.
MATERIALS AND METHODS
The population consist of 22 cases of Osgood-Schlatter disease and 15 healthy subjects of the same age range for comparison. The sonographic study was carried out with real time units equipped with linear probe of 7 MHz frequency. Radiography and sonography were done in all cases and follow-up sonography was performed in 10 cases.
RESULTS
The sonographic features of the Osgood-Schlatter disease were swelling of cartilage over the anterior tibial tuberosity ossification center in 16 cases, fragmentation and/or irregularities of the ossification center of the anterior tibial tuberosity in 14 cases, localized thickening of the pateliar tendon in 14 cases, ossicles in the thickened pateliar tendon in 3 cases, and distension of the infrapatellar bursa in 2 cases. Fifteen of 22 cases of Osgood-Schlatter disease had abnormal findings on radiographs and sonograms. Out of 7 cases which had normal radiograph and abnormal findings on sonogram, 6 cases showed pateliar tendon thickening, cartilage swelling, and/or distended infrapatellar bursa and one case showed fragmentation of anterior tibial tuberosity on sonogram.
CONCLUSION
Sonographic evaluation of Osgood-Schlatter disease provided a clear picture about pathologic changes in the superficial soft tissues and in the cartilage and also yielded the same diagnostic information on bony change as radiography Sonography is a reliable and useful method for the evaluation of young patients with clinically suspected Osgood-Schlatter disease.

MeSH Terms

Cartilage
Diagnosis*
Follow-Up Studies
Humans
Osteochondrosis*
Radiography
Tendons
Ultrasonography*