Definition Osteonecrosis (also known as bone necrosis, bone infarction) is an infarction of a whole bone or a part of a bone, which leads to the death of tissue (= necrosis). In principle, osteonecrosis can occur in any bone in the body (even in the big toe: Renander’s disease). However, there are some preferred localizations. … Osteonecrosis
Knee Osteonecrosis is also a typical disease for the knee, or the lower end of the thigh bone. If the knee is affected, the medical term is “Ahlbäck’s disease” (synonym: aseptic bone necrosis of the knee). The cause for the death of the bone substance is primarily a disturbance of the regular blood circulation of … Knee | Osteonecrosis
Pine The long-term intake of bisphosphonates can lead to the death of bone tissue in all bony structures. While this phenomenon is quite rare in the knee area, bisphosphonate-induced osteonecrosis in the jaw is more common. Furthermore, drugs from the steroid group are also suspected of provoking osteonecrosis of the jaw and knee. Patients suffering … Pine | Osteonecrosis
Therapy The therapy of choice for osteonecrosis depends on several factors. Sometimes it is sufficient to spare the affected part of the body for a while and not to burden it with weight, i.e. to treat it purely conservatively. Thanks to this resting period, spontaneous healing can often be achieved. In worse cases, however, only … Therapy | Osteonecrosis
Morbus Osgood-Schlatter is a bone disease affecting the shin bone. The bony tissue gradually dissolves at the point where the ligament that attaches the kneecap to the upper part of the shin bone. In the course of the disease it is possible that whole bone parts become detached and remain in the knee joint as … Surgery for Osgood-Schlatter’s disease
History During surgery for Osgood-Schlatter’s disease, the skin below the knee is opened and the shin bone is exposed. The aim of the operation is to remove the free pieces of bone that have become detached from the shin bone during the course of the disease. The bony extensions of the tibia, which have formed … History | Surgery for Osgood-Schlatter’s disease
Medical: Osteochondrosis deformans juvenilis of the tuberosity tibiae, apophysitis tibialis adolescentium, juvenile osteochondrosis of the tibia and fibula, rugby knee History In 1903, the American orthopedist Robert Bayley Osgood (1873-1956) and the Swiss surgeon Carl Schlatter (1864-1934) independently published case reports of the disease, which was later named after them. Summary Osgood-Schlatter’s disease is a … Osgood-Schlatter disease
Diagnosis The diagnosis of Osgood-Schlatter’s disease is made by In case of unclear findings may also: Ultrasound examination (sonography) and X-ray of the knee joint in 2 planes (from the front and from the side) A nuclear spin tomography of the knee (magnetic resonance imaging, MRT) Or perhaps a scintigraphy, with which a statement about … Diagnosis | Osgood-Schlatter disease
Prognosis The disease almost always heals without consequences, at the latest when growth is complete. Osgood-Schlatter disease and soccer Osgood-Schlatter disease occurs very frequently in children and adolescents. In this group, in turn, a particularly large number of children are affected who play soccer often and extensively. The particular strain on the knee during soccer, … Prognosis | Osgood-Schlatter disease
Osgood-Schlatter’s disease is an irritation of the patellar tendon (also known as patellar tendon) at its base on the shin bone. In addition to an irritation, this can also lead to the tearing of individual pieces of bone at the shin bone. The patellar tendon connects one of the strongest muscles in the body with … Treatment of Osgood-Schlatter disease
Causal therapy While cooling and pain treatment are symptomatic, the causal therapy of Osgood-Schlatter’s disease focuses on the cause of the disease. As already mentioned, one of the problems here is a bone tissue on the shin bone that is not fully developed or is in the process of remodelling. As a result, it is … Causal therapy | Treatment of Osgood-Schlatter disease
Extracorporeal shock wave therapy A more recent therapeutic approach is the so-called ESWT, extracorporeal shock wave therapy, which has so far mainly been used to destroy kidney stones. However, ESWT can also be used to treat tendon calcifications or bone inclusions and ossicles. Whereas in the early days of ESWT the patient had to lie … Extracorporeal shock wave therapy | Treatment of Osgood-Schlatter disease
