{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T04:33:01Z","timestamp":1765945981885,"version":"3.48.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Osgood\u2013Schlatter disease (OSD) is a self-limiting traction apophysitis in adolescents. While most resolve with conservative care, a subset of skeletally mature athletes may develop chronic anterior knee pain from persistent ossicles. Surgical excision is considered when nonoperative measures fail. This study aims to report outcomes of unresolved OSD treated with arthroscopic tibial ossicle excision. Three male patients, aged 34, 45, and 51, presented with anterior knee pain persisting for over one year despite standard non-surgical treatments. Imaging confirmed tibial ossicles. Arthroscopic removal was performed using anteromedial and anterolateral portals under fluoroscopic guidance. All surgeries were uneventful. Patients ambulated immediately postoperatively and returned to sports within 4\u20135\u00a0weeks. At 6-month follow-up, they were pain-free, could kneel comfortably, had full range of motion, and no tibial tubercle tenderness. No complications occurred. Arthroscopic excision is a safe, minimally invasive alternative to open surgery, allowing early recovery and return to sport.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf990","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T12:59:15Z","timestamp":1763816355000},"source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic management of refractory Osgood\u2013Schlatter disease: a case series and surgical technique"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7844-8288","authenticated-orcid":false,"given":"Abdulelah K","family":"Alqawlaq","sequence":"first","affiliation":[{"name":"College of Medicine and Surgery, Batterjee Medical College , Prince Abdullah Al\u2011Faisal Street, North Obhur, 6231, Jeddah 21442 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Maddah","sequence":"additional","affiliation":[{"name":"Musculoskeletal Center, International Medical Center , Hail Street, Al-Ruwais, 2172, Jeddah 21451 ,","place":["Saudi Arabia"]},{"name":"Orthopedic Section, Department of Surgery, University of Tabuk , King Faisal Road, Tabuk 47512 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"2025121623292641700_ref1","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1097\/MOP.0000000000000842","article-title":"Osgood-Schlatter disease: a 2020 update of a common knee condition in children","volume":"32","author":"Ladenhauf","year":"2020","journal-title":"Curr Opin Pediatr"},{"key":"2025121623292641700_ref2","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.ptsp.2021.03.002","article-title":"A systematic review on conservative treatment options for OSGOOD-Schlatter disease","volume":"49","author":"Neuhaus","year":"2021","journal-title":"Phys Ther Sport"},{"key":"2025121623292641700_ref3","doi-asserted-by":"publisher","first-page":"524","DOI":"10.19161\/etd.1496325","article-title":"Mid-term outcomes of osgood-schlatter patients undergoing arthroscopic excision","volume":"63","author":"Ak\u00e7aalan","year":"2024","journal-title":"EJM."},{"key":"2025121623292641700_ref4","doi-asserted-by":"publisher","first-page":"121395","DOI":"10.52965\/001c.121395","article-title":"Diagnosis and management of Osgood Schlatter disease","volume":"16","author":"Chandra","year":"2024","journal-title":"Orthop Rev (Pavia)"},{"key":"2025121623292641700_ref5","doi-asserted-by":"publisher","first-page":"e7362","DOI":"10.7759\/cureus.7362","article-title":"Osgood-Schlatter lesion removed arthroscopically in an adult patient","volume":"12","author":"Tsakotos","year":"2020","journal-title":"Cureus"},{"key":"2025121623292641700_ref6","doi-asserted-by":"publisher","first-page":"e1581","DOI":"10.1016\/j.eats.2021.02.026","article-title":"Nano-arthroscopic ultrasound-guided excision of unresolved Osgood-Schlatter disease","volume":"10","author":"Kamiya","year":"2021","journal-title":"Arthrosc Tech"},{"key":"2025121623292641700_ref7","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1007\/s00264-016-3374-1","article-title":"Results of arthroscopic treatment in unresolved Osgood-Schlatter disease in athletes","volume":"41","author":"Circi","year":"2017","journal-title":"Int Orthop"},{"key":"2025121623292641700_ref8","doi-asserted-by":"publisher","first-page":"6677333","DOI":"10.1155\/2021\/6677333","article-title":"Surgical treatment outcomes of unresolved Osgood-Schlatter disease in adolescent athletes","volume":"2021","author":"Mun","year":"2021","journal-title":"Case Rep Orthop"},{"key":"2025121623292641700_ref9","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1177\/0363546510383835","article-title":"Prevalence and associated factors of Osgood-Schlatter syndrome in a population-based sample of Brazilian adolescents","volume":"39","author":"Lucena","year":"2011","journal-title":"Am J Sports Med"},{"key":"2025121623292641700_ref10","doi-asserted-by":"publisher","first-page":"e32349","DOI":"10.7759\/cureus.32349","article-title":"Short- to mid-term outcomes in arthroscopic debridement of the knee: a prospective case series","volume":"14","author":"Uthraraj","year":"2022","journal-title":"Cureus"},{"key":"2025121623292641700_ref11","doi-asserted-by":"publisher","first-page":"2325967119878136","DOI":"10.1177\/2325967119878136","article-title":"Long-term prognosis and impact of Osgood-Schlatter disease 4 years after diagnosis: a retrospective study","volume":"7","author":"Guldhammer","year":"2019","journal-title":"Orthop J Sports Med"}],"container-title":["Journal of Surgical Case 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