The impact of quadriceps release therapy on rehabilitation of adolescent athletes with Osgood-Schlatter disease: a retrospective cohort study.

IF 1.4 Q3 ORTHOPEDICS

Orthopedic Reviews Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI:10.52965/001c.138749

Hui Pan, Wei Bai, Chang Zhang, Chao Wang, Liwei Liu, Shuxiang Chen, Zhijun Ding

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Abstract

Objective: Aimed at evaluating the impact of quadriceps muscle relaxation in the treatment of Osgood-Schlatter disease and analyzing the association between quadriceps tension and Osgood-Schlatter disease pathogenesis.

Methods: A retrospective cohort study was conducted on 78 Osgood-Schlatter disease patients. Participants were divided into a Local Treatment Group (n=31, receiving local treatment only) and an Combined Release Group (n=47, receiving combined local treatment and quadriceps release). The recovery time, number of treatments, time to relapse,number of relapsesand adverse reactions were compared .

Results: The Combined Release Group demonstrated significantly shorter recovery time (1.55 ± 1.23 weeks vs. 3.58 ± 4.26 weeks, P < 0.001) and fewer treatment sessions (3.17 ± 3.63 vs. 5.77 ± 5.47, P = 0.006) compared to the Local Treatment Group. However, no statistical differences were observed in relapse rates (34.0% vs. 35.5%, P = 0.896) or time to relapse (4.88 ± 5.00 months vs. 6.91 ± 5.13 months, P = 0.140).Both groups showed no adverse reactions.

Conclusion: Quadriceps release accelerates rehabilitation in Osgood-Schlatter disease and this study highlights the importance of reducing quadriceps tension. It also suggests a possible connection between quadriceps tension and the cause of OSD.

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股四头肌释放疗法对青少年奥斯古德-施洛特病运动员康复的影响：一项回顾性队列研究。

目的：评价股四头肌张力放松在治疗奥斯古德-施莱特病中的作用，分析股四头肌张力与奥斯古德-施莱特病发病机制的关系。方法：对78例奥斯古德-施洛特病患者进行回顾性队列研究。参与者分为局部治疗组（n=31，仅接受局部治疗）和联合释放组（n=47，接受局部联合治疗和股四头肌释放）。结果：联合释放组恢复时间（1.55±1.23周）明显短于局部释放组（3.58±4.26周，P < 0.001），治疗时间（3.17±3.63周，P = 0.006）明显短于局部释放组（5.77±5.47周，P = 0.006）。两组复发率（34.0%∶35.5%,P = 0.896）和复发时间（4.88±5.00个月∶6.91±5.13个月，P = 0.140）差异无统计学意义。两组均未出现不良反应。结论：股四头肌释放加速osgood - schater病的康复，本研究强调了减少股四头肌张力的重要性。这也表明股四头肌张力与OSD的病因之间可能存在联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedic Reviews ORTHOPEDICS-

CiteScore

2.70

自引率

4.80%

发文量

122

审稿时长

10 weeks

期刊介绍： Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.