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Sonoelastography findings of the patellar tendon in Osgood-Schlatter disease

Year 2022, Volume: 16 Issue: 1, 13 - 18, 20.04.2022

Abstract

Objectives: There are ultrasonographic findings defined in Osgood-Schlatter disease. However, sonoelastographic findings of the disease have not been previously defined. The aim of this study was to evaluate the B-mode ultrasonography (US), Color Doppler ultrasonography (CDUS), and sonoelastography (SEL) findings of the patellar tendon in patients with Osgood-Schlatter disease (OSD) and compare it with healthy individuals.
Methods: A total of 36 patellar tendons were evaluated in 12 patients with OSD and 10 healthy individuals by US, CDUS, and SEL. Thickness, echogenicity, CDUS, and SEL findings of the distal patellar tendon in each group were evaluated.
Results: A total of 22 individuals (19 males, 3 females) and 36 tendons (9 with acute OSD, 7 with chronic OSD and 20 control healthy tendons) were included in this study. The patellar tendons were statistically significantly thicker in OSD patients in comparison with healthy volunteers (5.68±2.32 mm versus 3.42±0.55 mm) (p=0.001). According to the SEL evaluation, all of the patellar tendons in patients with OSD were of type 2 in contrast with all of the patellar tendons in healthy volunteers were of type 1 (p<0.001).
Conclusion: Distal patellar tendon in patients with OSD was thicker and softer in comparison with healthy volunteers. The intratendinous and/or peritendinous vascularity on CDUS was increased in patients with acute OSD. We suggest that these findings could be associated with tendon degeneration in OSD patients and can be useful in the evaluation of the disease.

References

  • Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW. Osgood-Schlatter syndrome. Curr Opin Pediatr 2007;19:44–50.
  • Maher PJ, Ilgen JS. Osgood-Schlatter disease. BMJ Case Rep 2013; bcr2012007614.
  • Circi E, Atalay Y, Beyzadeoglu T. Treatment of Osgood–Schlatter disease: review of the literature. Musculoskelet Surg 2017;101:195–200.
  • Jacobson JA. Musculoskeletal ultrasound: focused impact on MRI. AJR Am J Roentgenol 2009;193:619–27.
  • Taljanovic MS, Gimber LH, Becker GW, Becker GW, Latt LD, Klauser AS, Melville DM, Gao L, Witte RS. Shear-wave elastography: basic physics and musculoskeletal applications. Radiographics 2017;37:855–70.
  • Lin J, Fessell DP, Jacobson JA. An illustrated tutorial of musculoskeletal sonography: part I, introduction and general principles. AJR Am J Roentgenol 2000;175:637–45.
  • Sarvazyan A, Hall TJ, Urban MW, Fatemi M, Aglyamov SR, Garra BS. An overview of elastography—an emerging branch of medical imaging. Curr Med Imaging Rev 2011;7:255–82.
  • Park GY, Kwon DR. Application of real-time sonoelastography in musculoskeletal diseases related to physical medicine and rehabilitation. Am J Phys Med Rehabil 2011;90:875–886.
  • Pesavento A, Perrey C, Krueger M, Ermert H. A time efficient and accurate strain estimation concept for ultrasonic elastography using iterative phase zero estimation. IEEE Trans Ultrason Ferroelectr Freq Control 1999;46:1057–67.
  • Cho N, Moon WK, Park JS, Park JS, Cha JH, Jang M, Seong MH. Nonpalpable breast masses: evaluation by US elastography. Korean J Radiol 2008;9:111–8.
  • Balaban M, Idilman IS, Ipek A, Ikiz SS, Bektaser B, Gumus M. Elastographic findings of achilles tendons in asymptomatic professional male volleyball players. J Ultrasound Med 2016;35:2623–8.
  • Evranos B, Idilman I, Ipek A, Polat SB, Cakir B, Ersoy R. Real-time sonoelastography and ultrasound evaluation of the Achilles tendon in patients with diabetes with or without foot ulcers: a cross sectional study. J Diabetes Complications 2015;29:1124–9.
  • De Zordo T, Lill SR, Fink C, Feuchtner GM, Jaschke W, Bellmann-Weiler R, Klauser AS. Real-time sonoelastography of lateral epicondylitis: comparison of findings between patients and healthy volunteers. AJR Am J Roentgenol 2009;193:180–5.
  • Blankstein A, Cohen I, Heim M, Diamant L, Salai M, Chechick A, Ganel A. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease. A clinical study and review of the literature. Arch Orthop Trauma Surg 2001;121:536–9.
  • Waseem N, Arshad N, Saleem K, Ali A, Farooq R, Sultan R. A review on accuracy of doppler ultrasound in various knee joint pathologies. Saudi J Med Pharm Sci 2021;7:107–13.
  • Enomoto S, Tsushima A, Oda T, Kaga M. The passive mechanical properties of muscles and tendons in children affected by Osgood-Schlatter disease. J Pediatr Orthop 2020;40:e243–e247.
  • Varghese T, Ophir J, Konofagou E, Kallel F, Righetti R. Tradeoffs in elastographic imaging. Ultrason Imaging 2001;23:216–48.
  • Galletti S, Francesco O, Masiero S, Frizziero A, Galletti R, Schiavone C, Salini V, Abate M. Sonoelastography in the diagnosis of tendinopathies: an added value. Muscles Ligaments Tendons J 2015;5:325–30.
  • Prado-Costa R, Rebelo J, Monteiro-Barroso J, Preto AS. Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury. Insights Imaging 2018;9:791–814.
  • Porta F, Damjanov N, Galluccio F, Iagnocco A, Matucci-Cerinic M. Ultrasound elastography is a reproducible and feasible tool for the evaluation of the patellar tendon in healthy subjects. Int J Rheum Dis 2014;17:762–6.
Year 2022, Volume: 16 Issue: 1, 13 - 18, 20.04.2022

Abstract

References

  • Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW. Osgood-Schlatter syndrome. Curr Opin Pediatr 2007;19:44–50.
  • Maher PJ, Ilgen JS. Osgood-Schlatter disease. BMJ Case Rep 2013; bcr2012007614.
  • Circi E, Atalay Y, Beyzadeoglu T. Treatment of Osgood–Schlatter disease: review of the literature. Musculoskelet Surg 2017;101:195–200.
  • Jacobson JA. Musculoskeletal ultrasound: focused impact on MRI. AJR Am J Roentgenol 2009;193:619–27.
  • Taljanovic MS, Gimber LH, Becker GW, Becker GW, Latt LD, Klauser AS, Melville DM, Gao L, Witte RS. Shear-wave elastography: basic physics and musculoskeletal applications. Radiographics 2017;37:855–70.
  • Lin J, Fessell DP, Jacobson JA. An illustrated tutorial of musculoskeletal sonography: part I, introduction and general principles. AJR Am J Roentgenol 2000;175:637–45.
  • Sarvazyan A, Hall TJ, Urban MW, Fatemi M, Aglyamov SR, Garra BS. An overview of elastography—an emerging branch of medical imaging. Curr Med Imaging Rev 2011;7:255–82.
  • Park GY, Kwon DR. Application of real-time sonoelastography in musculoskeletal diseases related to physical medicine and rehabilitation. Am J Phys Med Rehabil 2011;90:875–886.
  • Pesavento A, Perrey C, Krueger M, Ermert H. A time efficient and accurate strain estimation concept for ultrasonic elastography using iterative phase zero estimation. IEEE Trans Ultrason Ferroelectr Freq Control 1999;46:1057–67.
  • Cho N, Moon WK, Park JS, Park JS, Cha JH, Jang M, Seong MH. Nonpalpable breast masses: evaluation by US elastography. Korean J Radiol 2008;9:111–8.
  • Balaban M, Idilman IS, Ipek A, Ikiz SS, Bektaser B, Gumus M. Elastographic findings of achilles tendons in asymptomatic professional male volleyball players. J Ultrasound Med 2016;35:2623–8.
  • Evranos B, Idilman I, Ipek A, Polat SB, Cakir B, Ersoy R. Real-time sonoelastography and ultrasound evaluation of the Achilles tendon in patients with diabetes with or without foot ulcers: a cross sectional study. J Diabetes Complications 2015;29:1124–9.
  • De Zordo T, Lill SR, Fink C, Feuchtner GM, Jaschke W, Bellmann-Weiler R, Klauser AS. Real-time sonoelastography of lateral epicondylitis: comparison of findings between patients and healthy volunteers. AJR Am J Roentgenol 2009;193:180–5.
  • Blankstein A, Cohen I, Heim M, Diamant L, Salai M, Chechick A, Ganel A. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease. A clinical study and review of the literature. Arch Orthop Trauma Surg 2001;121:536–9.
  • Waseem N, Arshad N, Saleem K, Ali A, Farooq R, Sultan R. A review on accuracy of doppler ultrasound in various knee joint pathologies. Saudi J Med Pharm Sci 2021;7:107–13.
  • Enomoto S, Tsushima A, Oda T, Kaga M. The passive mechanical properties of muscles and tendons in children affected by Osgood-Schlatter disease. J Pediatr Orthop 2020;40:e243–e247.
  • Varghese T, Ophir J, Konofagou E, Kallel F, Righetti R. Tradeoffs in elastographic imaging. Ultrason Imaging 2001;23:216–48.
  • Galletti S, Francesco O, Masiero S, Frizziero A, Galletti R, Schiavone C, Salini V, Abate M. Sonoelastography in the diagnosis of tendinopathies: an added value. Muscles Ligaments Tendons J 2015;5:325–30.
  • Prado-Costa R, Rebelo J, Monteiro-Barroso J, Preto AS. Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury. Insights Imaging 2018;9:791–814.
  • Porta F, Damjanov N, Galluccio F, Iagnocco A, Matucci-Cerinic M. Ultrasound elastography is a reproducible and feasible tool for the evaluation of the patellar tendon in healthy subjects. Int J Rheum Dis 2014;17:762–6.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Mehtap Balaban 0000-0002-6752-6838

Sinem Sigit İkiz This is me 0000-0001-5342-9589

İlkay S. İdilman This is me 0000-0002-1913-2404

Publication Date April 20, 2022
Published in Issue Year 2022 Volume: 16 Issue: 1

Cite

APA Balaban, M., Sigit İkiz, S., & İdilman, İ. S. (2022). Sonoelastography findings of the patellar tendon in Osgood-Schlatter disease. Anatomy, 16(1), 13-18.
AMA Balaban M, Sigit İkiz S, İdilman İS. Sonoelastography findings of the patellar tendon in Osgood-Schlatter disease. Anatomy. April 2022;16(1):13-18.
Chicago Balaban, Mehtap, Sinem Sigit İkiz, and İlkay S. İdilman. “Sonoelastography Findings of the Patellar Tendon in Osgood-Schlatter Disease”. Anatomy 16, no. 1 (April 2022): 13-18.
EndNote Balaban M, Sigit İkiz S, İdilman İS (April 1, 2022) Sonoelastography findings of the patellar tendon in Osgood-Schlatter disease. Anatomy 16 1 13–18.
IEEE M. Balaban, S. Sigit İkiz, and İ. S. İdilman, “Sonoelastography findings of the patellar tendon in Osgood-Schlatter disease”, Anatomy, vol. 16, no. 1, pp. 13–18, 2022.
ISNAD Balaban, Mehtap et al. “Sonoelastography Findings of the Patellar Tendon in Osgood-Schlatter Disease”. Anatomy 16/1 (April 2022), 13-18.
JAMA Balaban M, Sigit İkiz S, İdilman İS. Sonoelastography findings of the patellar tendon in Osgood-Schlatter disease. Anatomy. 2022;16:13–18.
MLA Balaban, Mehtap et al. “Sonoelastography Findings of the Patellar Tendon in Osgood-Schlatter Disease”. Anatomy, vol. 16, no. 1, 2022, pp. 13-18.
Vancouver Balaban M, Sigit İkiz S, İdilman İS. Sonoelastography findings of the patellar tendon in Osgood-Schlatter disease. Anatomy. 2022;16(1):13-8.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).