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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Bony Maturity of the Tibial Tuberosity With Regard to Age and Sex and Its Relationship to Pathogenesis of Osgood-Schlatter Disease: An Ultrasonographic Study
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Bony Maturity of the Tibial Tuberosity With Regard to Age and Sex and Its Relationship to Pathogenesis of Osgood-Schlatter Disease: An Ultrasonographic Study

机译：年龄和性别相关的胫骨结节的骨性成熟度及其与奥斯古德·施特拉特病发病机理的关系：超声检查

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Background: Although tensile force on an immature tibial tuberosity is considered the main cause of Osgood-Schlatter disease (OSD), the relationship between bony maturity and the pathogenesis of OSD remains obscure. Purpose: To survey the bone maturation process of the tibial tuberosity by age and sex and clarify its relationship to OSD. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 731 Japanese basketball players aged 6 to 14 years were enrolled in this study. Ultrasonographic examination was performed in all participants (1462 knees) to evaluate the bony maturity of the tibial tuberosity by use of the Ehrenborg classification. The age- and sex-specific prevalence of each stage was investigated, and the prevalence of symptomatic OSD and its relationship with bony maturity were also assessed. Results: The process of bone maturation occurred 1 to 2 years earlier in female participants compared with male participants. Among female participants, 59.2% were already at the epiphyseal stage (stage E) by 10 years of age, and 47.4% were skeletally mature by 14 years. Among male participants, conversely, only 8.0% were at stage E by 10 years of age, and only 13.8% were skeletally mature by 14 years. The overall prevalence of symptomatic OSD was 6.8% (males, 6.4%; females, 7.2%), and the onset was 1 year earlier in the female participants. The prevalence of symptomatic OSD tended to increase with age and bony maturity, significantly increasing from the cartilaginous stage (stage C) to the apophyseal stage (stage A) (odds ratio, 9.48) and from stage A to stage E (odds ratio, 2.22). Conclusion: The tibial tuberosity matures earlier in female participants. The risk of OSD is greater in stage A than stage C and in stage E than stage A. The risk of OSD increases with age in males but not in females.
机译：背景：尽管未成熟的胫骨结节上的拉力被认为是Osgood-Schlatter病（OSD）的主要原因，但骨成熟度与OSD发病机理之间的关系仍然不清楚。目的：按年龄和性别调查胫骨结节的骨成熟过程，并阐明其与OSD的关系。研究设计：横断面研究;证据等级，3。方法：本研究共纳入731名6至14岁的日本篮球运动员。在所有参与者（1462膝）中进行了超声检查，以通过Ehrenborg分类评估胫骨结节的骨成熟度。调查了每个阶段的年龄和性别特异性患病率，并评估了症状性OSD患病率及其与骨成熟度的关系。结果：与男性参与者相比，女性参与者的骨骼成熟过程提前了1至2年。在女性参与者中，到10岁时已经有59.2％处于骨s期（E期），而到14岁时已达到骨骼成熟的47.4％。相反，在男性参与者中，到10岁时处于E期的只有8.0％，到14岁时只有13.8％的骨骼成熟。有症状OSD的总体患病率为6.8％（男性为6.4％;女性为7.2％），女性参与者的发病早于1年。有症状的OSD患病率随年龄和骨成熟度而增加，从软骨期（C期）到骨po期（A期）（比值比为9.48）和从A期到E期（比值比值为2.22）显着增加。 ）。结论：女性参与者胫骨结节较早成熟。在A期，OSD的风险大于C期，在E期，OSD的风险大于A期。男性的OSD风险随年龄增加而女性增加。

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