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Vet Comp Orthop Traumatol 2009; 22(04): 257-263
DOI: 10.3415/VCOT-08-09-0094
Review Article
Schattauer GmbH

Does Osgood-Schlatter Disease exist in the dog?

Review of human and canine literature and proposed classification system for tibial tuberosity avulsions in the immature dog
von D. J. F. Pfeil
1   Veterinary Specialists of Alaska, Anchorage, Alaska, USA
,
C. E. DeCamp
2   Department of Small Animal Clinical Sciences, Michigan State University, College of Veterinary Medicine, East Lansing, Michigan, USA
,
K. L. Diegel
3   Eli Lilly and Company, Lilly Research Labs, Greensfield, Indiana, USA
,
P. A. Gholve
4   Division of Pediatric Orthopaedic Surgery, Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts, USA
,
C. W. Probst
2   Department of Small Animal Clinical Sciences, Michigan State University, College of Veterinary Medicine, East Lansing, Michigan, USA
,
L. M. Déjardin
2   Department of Small Animal Clinical Sciences, Michigan State University, College of Veterinary Medicine, East Lansing, Michigan, USA
› Author Affiliations
Further Information

Publication History

Received:25 September 2008

Accepted:05 February 2009

Publication Date:
18 December 2017 (online)

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Summary

Osgood-Schlatter disease (OSD) is a condition affecting human adolescents in which there is partial separation of bone fragments from the tibial tuberosity at the site of insertion of the patellar ligament to the tibial tuberosity. Tensile trauma seems to be the most likely aetiology. Clinical signs in people consist of swelling and pain at the proximal part of the tibial tuberosity and around the distal end of patellar ligament. Radiographs frequently show small ossicles at the patellar ligament insertion. Conservative treatment is usually curative. The term OSD has also been used for the canine patient. However, radiographs of these patients typically show an enlarged radio-lucent line at the apophyseal plate of the tibial tuberosity. This finding is consistent with a mild avulsion fracture of the canine tibial tuberosity. Based on the radiographic differences between the two species, it seems more appropriate to use the term OSD only for people. The purpose of this paper is to review the literature on OSD in people and the reports of injuries to the proximal tibial tuberosity in dogs. In addition, a new classification system for tibial tuberosity avulsion injuries in the immature dog is proposed, with an algorithm for management of this injury.

Keywords

Osgood-Schlatter disease - avulsion - dog - tibial tuberosity - apophysis
 

  • References

  • 1 Osgood RB. Lesions of the tibial tubercle occurring during adolescence. Boston Med Surg J 1903; 48: 114-117.
    PubMedSearch in Google Scholar
  • 2 Schlatter C. Verletzungen des Schnabelförmingen Forts-atzes der Oberen Tibiaepiphyse. Brun’s Beitr Klin Chir, 1903; 38: 874-887.
    PubMedSearch in Google Scholar
  • 3 Haglund P. Om utvecklingen av tuberositas tibiae och en typisk skada å densamma I uppväxtåren (Schlatters sjukdom). Allm Svenska läk tidning, 1905; 32: 497-508.
    PubMedSearch in Google Scholar
  • 4 Dunlop J. The adolescent tibial tubercle. Am J Orthop Surg, 1912; 9: 313-337.
    PubMedSearch in Google Scholar
  • 5 Montgomery R. Miscellaneous Orthopaedic Diseases. In: Textbook of Small Animal Surgery (3rd Ed). Slatter (ed). Philadelphia: Saunders, 2002; 2256-2258.
    PubMedSearch in Google Scholar
  • 6 Ross MD, Villard D. Disability levels of college-aged men with a history of Osgood-Schlatter disease. J Strength Cond Res, 2003; 17 (04) 659-663.
    PubMedSearch in Google Scholar
  • 7 Gillert LH, Washulewski H. Ossification disorders and aseptic osteonecroses of the tibial apophysis (Lannelongue-Osgood-Schlatter disease) as seen from the dualistic principle of osteogenesis. Z Orthop Ihre Grenzgeb, 1968; 105 (03) 14-36.
    PubMedSearch in Google Scholar
  • 8 Gholve PA, Sicher DM, Khakharia S. et.al. Osgood Schlatter syndrome. Curr Opin Pediatr 2007; 19: 44-50.
    CrossrefPubMedSearch in Google Scholar
  • 9 Kujala UM, Kvist M, Heinonen O. Osgood-Schlatter's disease in adolescent athletes. Retrospective study of incidence and duration. Am J Sports Med 1985; 13 (04) 236-241.
    CrossrefPubMedSearch in Google Scholar
  • 10 Ehrenborg G, Olsson S-E. Avulsion of the tibial tuberosity in the dog. A comparative roentgenologic study with special reference to the Osgood-Schlatter lesion in man. Acta Chir Scand 1962; 123: 28-37.
    PubMedSearch in Google Scholar
  • 11 Power JW. Avulsion of the tibial tuberosity in the greyhound. Aust Vet J 1976; 52 (11) 491-495.
    CrossrefPubMedSearch in Google Scholar
  • 12 Skelly CM, McAllister H, Donnelly WJ. Avulsion of the tibial tuberosity in a litter of greyhound puppies. J Small Anim Pract 1997; 38 (10) 445-449.
    CrossrefPubMedSearch in Google Scholar
  • 13 Clements DN, Gemmill T, Corr SA. et al Fracture of the proximal tibial epiphysis and tuberosity in 10 dogs. J Small Anim Pract 2003; 44 (08) 355-358.
    CrossrefPubMedSearch in Google Scholar
  • 14 Douglas C, Blood DC, Studdert VP, Gay OC. Saunders Comprehensive Veterinary Dictionary (3rd ed). Douglas C Blood DC, Studdert VP, Gay OC (eds). Philadelphia: Saunders; 2007: 1285
    Search in Google Scholar
  • 15 Uhry Jr. E. Osgood-Schlatter’s disease. Arch. Surg 1944; 48: 406.
    CrossrefPubMedSearch in Google Scholar
  • 16 Ehrenborg G, Engfeldt B, Olsson S-E. On the etiology of the Osgood-Schlatter lesion. An experimental study in dogs. Acta Chir Scand 1961; 122: 445
    PubMedSearch in Google Scholar
  • 17 Ehrenborg G, Lagergren C. Roentgenologic changes in the Osgood-Schlatter lesion. Acta Chir Scand 1961; 121: 315-327.
    PubMedSearch in Google Scholar
  • 18 Smith R.N. Epiphyseal fusion in the greyhound. Vet Rec 1960; 72: 765-779.
    PubMedSearch in Google Scholar
  • 19 Sumner-Smith G. Observations on epiphyseal fusion of the canine appendicular skeleton. J Sm Anim Pract 1966; 7: 303-311.
    CrossrefPubMedSearch in Google Scholar
  • 20 Demirag B, Ozturk C, Yazici Z. et al The pathophysiology of Osgood-Schlatter disease: A magnetic resonance investigation. J Pediatr Orthop B 2004; 13 (06) 379-382.
    CrossrefPubMedSearch in Google Scholar
  • 21 Hörbst L. Mikroskopische Befunde bei der sogenannten Schlatter-Osgoodschen Erkrankung (apophysitis tibiae) und bei Osteochondritis des Mondbeines. Arch f orthop Unfall-Chir 1933; 33: 229-247.
    PubMedSearch in Google Scholar
  • 22 Rosenberg ZS, Kawelblum M, Cheung YY. et al OsgoodSchlatter lesion: Fracture or tendinitis? Scintigraphic, CT, and MR imaging features. Radiology 1992; 185 (03) 853-858.
    CrossrefPubMedSearch in Google Scholar
  • 23 Gigante A, Bevilacqua C, Bonetti MG. et al Increased external tibial torsion in Osgood-Schlatter disease. Acta Orthop Scand 2003; 74 (04) 431-436.
    CrossrefPubMedSearch in Google Scholar
  • 24 Shim SS, Leung G. Blood supply of the knee joint. A microangiographic study in children and adults. Clin Orthop Relat Res 1986; 208: 119-125.
    PubMedSearch in Google Scholar
  • 25 Reichelt A. New findings in the area of the etiology and pathogenesis of juvenile osteochondrosis of the tibia apophysis (Osgood-Schlatter disease). Med Welt 1972; 23 (44) 1587-1590.
    PubMedSearch in Google Scholar
  • 26 Mital MA, Matza RA, Cohen J. The so-called unresolved Osgood-Schlatter lesion: A concept based on fifteen surgically treated lesions. J Bone Joint Surg Am 1980; 62 (05) 732-739.
    CrossrefPubMedSearch in Google Scholar
  • 27 Orava S, Virtanen K. Osteochondroses in athletes. Br J Sports Med 1982; 16 (03) 161-168.
    CrossrefPubMedSearch in Google Scholar
  • 28 Ehrenborg G, Engfeldt B. Histologic changes in the Os-good-Schlatter lesion. Acta Chir Scand 1961; 121: 328-337.
    PubMedSearch in Google Scholar
  • 29 Bloom OJ, Mackler L, Barbee J. Clinical inquiries. What is the best treatment for Osgood-Schlatter disease?. J Fam Pract 2004; 53 (02) 153-156.
    PubMedSearch in Google Scholar
  • 30 Hirano A, Fukubayashi T, Ishii T. et al Magnetic resonance imaging of Osgood-Schlatter disease: the course of the disease. Skeletal Radiol 2002; 31 (06) 334-342.
    CrossrefPubMedSearch in Google Scholar
  • 31 Blankstein A, Cohen I, Heim M. et al Ultrasonography as a diagnostic modality in Osgood-Schlatter disease. A clinical study and review of the literature. Arch Orthop Trauma Surg 2001; 121 (09) 536-539.
    CrossrefPubMedSearch in Google Scholar
  • 32 Visuri T, Pihlajamaki HK, Mattila VM. et al Elongated patellae at the final stage of Osgood-Schlatter disease: A radiographic study. Knee 2007; 14 (03) 198-203.
    CrossrefPubMedSearch in Google Scholar
  • 33 Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg Am 1980; 62 (02) 205-215.
    CrossrefPubMedSearch in Google Scholar
  • 34 Polakoff DR, Buchholz RW, Ogden JA. Tension band wiring of displaced tibial tuberosity fractures in adolescents. Clin Orthop 1986; 209: 161-165.
    PubMedSearch in Google Scholar
  • 35 Ryu R, Dehenham J. An unusual avulsion fracture of the proximal tibial epiphysis. Clin Orthop 1985; 195: 181-184.
    PubMedSearch in Google Scholar
  • 36 Flowers MJ, Bhadreshwar DR. Tibial tuberosity excision for symptomatic Osgood-Schlatter disease. J Pediatr Orthop 1995; 15 (03) 292-297.
    CrossrefPubMedSearch in Google Scholar
  • 37 Glynn MK, Regan BF. Surgical treatment of OsgoodSchlatter's disease. J Pediatr Orthop 1983; 3 (02) 216-219.
    CrossrefPubMedSearch in Google Scholar
  • 38 Piermattei DL, Flo GL, DeCamp CE. Fractures of the tibia and fibula. In: Handbook of Small Animal Orthopedics and Fracture Repair (4th ed). Piermattei DL, Flo GL, DeCamp CE (eds). St. Louis: Saunders; 2006: 641
    Search in Google Scholar
  • 39 Goldsmid S, Johnson KA. Complications of canine tibial tuberosity avulsion fractures. Vet Comp Orthop Traumatol 1991; 4: 54-58.
    Thieme ConnectPubMedSearch in Google Scholar
  • 40 Jaffe HL. Certain Disorders of Individual Epiphyses, Apophyses, and Epiphysioid Bones: Osgood-Schlatter Disease. In: Metabolic, Degenerative, and Inflammatory Diseases of Bones and Joints. Philadelphia: Lea and Febiger; 1975: 599-605
    Search in Google Scholar
  • 41 Athanasou NA. Osteonecrosis. In: Pathological basis of orthopaedic and rheumatic disease. Athanasou NA (ed). London: Arnold; 2001: 33
    Search in Google Scholar