Osgood-Schlatter's病的X线研究

X-ray Study of Osgood-Schlatter Disease

对于有争议的Osgood-Schlatter's病,本文报告88例,发现其基本X线表现是:髌韧带肥厚(占93.4%)、骨化结节(占88.6%)、碎骨片(占11.4%)和胫骨结节骨质增生(占72.7%)。根据本组病例这些X 线表现,不支持本病为骨软骨病和外伤所致单纯性骨折,亦不完全支持本病为肌腱炎,而认为本病是髌韧带附着部的病变,与该部位特定的解剖结构和生理功能有关;外伤和活动过度可能是发病的诱因,病变既累及髌韧带的下端,又侵犯胫骨结节,因而出现多种X 线改变。

88 cases of controversial Osgood-Schlatter disease were reported.Its basic x-raymanifestations are:hypertrophy of patellay ligament(93.4%),ossified nodules(88.6%),bonyfragments(11.4%)and hyperplasia of tubercle of tibia(72.7%).According to these features neitherosteochondritis and simple fracture nor musculo-tenonitis is in support of the etiology of this disease.Itis suggested that this disease is the attachement of patellar ligament altered essentially,and is related totheir specific anatomical structure and physiological function.Trauma and exagerated exercise may bethe predisposing factors.It involved not only distal end of patellar ligament but also the tubercle oftibia,so various x-ray patterns are presented.