Ultrasound-Guided Ossicle Excision for Chronic Osgood–Schlatter Disease and Sinding-Larsen-Johansson Syndrome : A Case Series and Review of the Literature.
Objective: To describe a novel, minimally invasive, ultrasound-guided technique for excision of ununited ossicles in patients with chronic Osgood–Schlatter disease (OSD) and Sinding-Larsen-Johansson syndrome (SLJS) who failed conservative management. Design: Retrospective case series. Setting: Ambul...
| Publicado en: | Clinical Journal of Sport Medicine Vol. 36; no. 4; pp. 451 - 459 |
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| Autores principales: | , , , , |
| Formato: | case study diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194875476&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194875476 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1050642X 8CB jtl: Clinical Journal of Sport Medicine issn: 1050642X maglogo: N pubinfo: dt: Jul2026 vid: 36 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 194875476 194875476 194875476 10.1097/JSM.0000000000001410 194875476 ppf: 451 ppct: 8 formats: tig: atl: Ultrasound-Guided Ossicle Excision for Chronic Osgood–Schlatter Disease and Sinding-Larsen-Johansson Syndrome : A Case Series and Review of the Literature. aug: au: Dolores-Rodriguez, Angel Krockmal, Patrick Sherman, Seth L. Townsend, Christine Sussman, Walter I. affil: Stanford University, Standford, California sug: subj: Fractures, Ununited Ultrasonography Fractures, Ununited Surgery Minimally Invasive Procedures Osteochondrosis Chronic Disease Sinding-Larsen-Johansson Syndrome Conservative Treatment Treatment Failure Human Case Studies Treatment Outcomes Pilot Studies Retrospective Design Record Review Prospective Studies Male Female Adolescence Adult Descriptive Statistics Pain Prevention and Control Sports Re-Entry Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Objective: To describe a novel, minimally invasive, ultrasound-guided technique for excision of ununited ossicles in patients with chronic Osgood–Schlatter disease (OSD) and Sinding-Larsen-Johansson syndrome (SLJS) who failed conservative management. Design: Retrospective case series. Setting: Ambulatory surgical center. Patients: Five skeletally mature patients (ages 16-44 years), including competitive athletes and adults with chronic anterior knee pain due to OSD (n = 3) or SLJS (n = 2), all of whom remained symptomatic despite standard conservative treatments. Main Independent Variable: Ultrasound-guided resection of intratendinous ossicles using a TX-bone device under local anesthesia, followed by a structured rehabilitation protocol. Main Outcome Measures: Pain relief, ability to return to sport or prior activity, and functional recovery at 2 to 12 weeks postprocedure. Results: All 5 patients successfully underwent ultrasound-guided ossicle excision without perioperative complications. Each reported meaningful pain reduction and returned to unrestricted activities within 2 to 12 weeks. Follow-up ranged from 6 to 14 months, with sustained symptom relief and return to prior sport participation. Outcomes compared favorably with open and arthroscopic techniques described in the literature. Conclusions: This case series is the first to describe an ultrasound-guided technique for excision of chronic, symptomatic OSD and SLJS ossicles. The approach demonstrated rapid recovery, excellent pain relief, and favorable functional outcomes. Further prospective studies with larger cohorts are warranted to validate efficacy and long-term safety. pubtype: Academic Journal doctype: case study diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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