Treatment of the Osgood Schlatter (OSGOOD)

Civil Hospices of Lyon

Status: Completed

Conditions: Osgood Schlatter Disease

Treatments: Other: cast immobilization group; Other: complete sport rest.

Study type: Interventional

Funder types: Other

Identifiers

NCT02824172

69HCL16_0404

Details and patient eligibility

About

The disease Osgood-Schlatter is most commonly found in sports teenager growing up apophysose accounting for 28.4% of osteochondrosis by Breck. It relates to 62% of osteochondrosis knee and affects adolescent girls between 10 and 12 and boys between 12 and 15 It is usually considered a benign pathology that cures in the majority of cases. However, in 5-10% of cases there is persistent residual pain in adulthood.

The classic complication is the avulsion fracture of the tibial tuberosity in adolescents who continued his sports without restriction.

The possible consequences are numerous including the presence of a free bone fragment at the insertion of the tendon originally described by Osgood the establishment of a genu recurvatum, a high kneecap or patella alta and an enlarged tibial tuberosity (ATT) annoying sport.

The main two treatments are complete rest from sport activity or cast immobilization.

The main objective is to compare these two technics according to the proportion of full sporting recovering at 12 months

Enrollment: 72 patients

Sex: All

Ages: 9 to 15 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Boys and girls
• From 9 to 15 years old
• Coming to consult in the Sports' medicine ward
• Patients diagnosed with Osgood-Schlatter disease defined by a swelling of the anterior tibial tuberosity (ATT) , pain on palpation of the ATT , pain with passive knee flexion , pain thwarted knee extension and soft rays in profile knee radiography according to the classification of Woolfrey and Chandler (types A -C
• Unilateral or bilateral
• Previously treated or not
• Agreed to participate
• Agreement of the parents to participate
• Affiliation to national security

Exclusion criteria

• Contraindication to the set-up of vascular access in femoral position (femoral Scarpa wound, aortic dissection)
• Local infection
• Hypothermia <32°C
• Need for implementation of arterial catheter only
• Need for implementation of venous catheter only

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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72 participants in 2 patient groups

Cast immobilization

Experimental group

Description:

36 patients in the experimental cast immobilization

Treatment:

Other: cast immobilization group

complete sport rest

Active Comparator group

Description:

36 patients in the complete sport rest group

Treatment:

Other: complete sport rest.