SURGICAL-TREATMENT OF UNRESOLVED OSGOOD-SCHLATTER LESION

The Osgood-Schlatter lesion is considered a traction apophysitis. Trea tment is generally conservative, and only rarely does a surgical treat ment become necessary for the persistence of pain and swelling over th e tibial tubercle. The most widely used procedure consists of the exci sion of all intratendinous ossicles with or without removal of the pro minent tibial tubercle. In 15 cases treated in this manner compared wi th 11 cases treated with various procedures before 1975, the results w ere clearly better with the former. There was only one fair and no poo r results. Removal of all loose intratendinous ossicles associated wit h prominent tibial tubercles is the procedure of choice, both from the functional and the cosmetic point of view.