Invasive treatments for Osgood-Schlatter disease (systematic literature review)

Abstract

Introduction Osgood-Schlatter disease is manifested by pain, swelling and the appearance of a painful "bump" in the area of the tibial tuberosity. For 90 % of patients, conservative treatment is effective. It relieves painful symptoms but if they persist after the closure of the growth plate, surgical treatment is recommended. The study of literature reviews on invasive methods of treatment of the Osgood-Schlatter disease revealed only a few works on various methods of treatment with a description of clinical cases. Purpose Review of current methods of invasive treatment of Osgood-Schlatter disease, comparison of their effectiveness from the point of current evidence-based requirements. Materials and methods The electronic databases eLibrary, PubMed and Scopus were used for literature search. Results This literature review presents a comparative analysis of the effectiveness of various surgical methods of treatment, namely, the use of surgical and puncture methods. The main advantages of the methods were discussed, as well as their disadvantages caused by postoperative complications or difficulties resulting from the techniques for their implementation. Conservative treatment, which is resorted to in the majority of cases, does not relieve pain in the knee joint, and discomfort at sport activities persists. Minimally invasive techniques, which were used by a number of authors whose works are described in this review, are at a low level in the hierarchy of evidence, because there no large comparative studies. Conclusions Due to the rarity of surgical treatment of this pathology, it makes sense to create a register of patients with Osgood-Schlatter disease for the purpose of a remote unified assessment of treatment results in order to identify the most appropriate method of surgical intervention.