Surgical excision OK: Recalitrant, chronic osgood-schlatter disease, whereby the tibial tubercle fails to fuse to the tibia during normal growth and development, rarely results in surgery. When the disease fails to resolve naturally without surgery, however, the ossicle can be excised. This can be performed via open incision or as i prefer, via an arthroscopic low-morbidity approach.
Answered 12/9/2013
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Treatment options...: This condition is usually seen in adolescents, & most symptoms resolve as you age. If you are experiencing pain into adulthood then see a physician to rule out any secondary issue(s) that may be causing similar pain. Patella tendonitis/ tendonosis, meniscal pathologies, patella femoral syndrome, & others may cause pain in the front of knee near the tibial tublercle. May need surgery as (above).
Answered 12/9/2013
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