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Ultrasonic diagnosis of Osgood-Schlatter and Sinding-Larsen-Johansson diseases of the knee

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Abstract

High resolution ultrasonography of the knee was performed on 82 young patients with clinically suspected Osgood-Schlatter disease and on 30 normal subjects; in 45 pathological cases (55%) comparative X-ray films were taken. The ultrasound pictures were equally or more effective than X-ray images in 45/45 cases; their value was particularly marked for soft tissue study. The typical sonographic changes of the ossification center, of the cartilage, and of the surrounding soft tissues are described and classified, both for Osgood-Schlatter and for Sinding-Larsen-Johansson diseases. These signs are based mainly upon cartilage swelling and edema, fragmentation of the ossification center, thickening of the patellar tendon, and bursitis of the infra-patellar bursa. Ultrasonography is proposed as a simple and reliable method for the diagnosis of knee joint osteochondrosis. The ultrasound picture is also suitable for periodical follow-up the course of the disease.

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Authors and Affiliations

  1. Radiological Service, Istituti Clinici di Perfezionamento, C.T.O., Milan

    Luca De Flaviis M.D. & Pietro Scaglione M.D.

  2. Institute of Radiology, University of Milan, Milan, Italy

    Renato Nessi M.D.

  3. Scientific Institute H.S. Raffaele, Ultrasound Department, Milan, Italy

    Giuseppe Balconi M.D.

  4. Institute of Orthopaedies, University of Milan, Italy

    Walter Albisetti M.D.

  5. Institute of Radiology, University of Genoa, Italy

    Lorenzo E. Derchi M.D.

Authors
  1. Luca De Flaviis M.D.
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  2. Renato Nessi M.D.
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  3. Pietro Scaglione M.D.
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  4. Giuseppe Balconi M.D.
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  5. Walter Albisetti M.D.
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  6. Lorenzo E. Derchi M.D.
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De Flaviis, L., Nessi, R., Scaglione, P. et al. Ultrasonic diagnosis of Osgood-Schlatter and Sinding-Larsen-Johansson diseases of the knee. Skeletal Radiol 18, 193–197 (1989). https://doi.org/10.1007/BF00360969

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