Arthroscopic-Assisted Open Excision of an Infrapatellar Tendon Osgood-Schlatter’s Bony Ossicle

Osgood-Schlatter disease (OSD) is a cumulative traction apophysitis condition caused by microavulsions along the apophysis at the tibial tuberosity and patellar tendon, which sometimes create a protruding bony ossicle at the anterior tibial tubercle. Although most cases of OSD resolve with supportive treatment, some cases that persist after physeal plate closure may require surgery. Previously described surgical management techniques for OSD ossicles have required either an open excision, which disrupts the patellar tendon, or through arthroscopic or buroscopic procedures that are technically challenging. This Technical Note describes an arthroscopically assisted open excision of an infrapatellar tendon Osgood-Schlatter's bony ossicle.