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This case report describes a female in her early 20s with a 6-year history of right knee pain over the tibial tuberosity, without major sports-related activity. MRI showed abnormal signal intensity at the tibial tuberosity. After about 1 year of conservative treatment with minimal benefit, bursoscopic debridement of ossicles and tibial tuberosity was performed, with WOMAC improvement at 1 and 2 years.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/unresolved-osgoodschlatter-disease-in-a-skeletally-mature-female-managed-with-bursoscopic-debridement-case-report/435683/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/unresolved-osgoodschlatter-disease-in-a-skeletally-mature-female-managed-with-bursoscopic-debridement-case-report/435683.png","ImageObject",300,407,{"name":92,"@type":93},"anakgang17","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why was Osgood–Schlatter disease considered in this case?","Question",{"text":112,"@type":113},"The patient presented with anterior knee pain localized to the tibial tuberosity. The diagnosis was supported by right knee MRI findings showing abnormal signal intensity in the tibial tuberosity.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What treatment approach was used after conservative management failed?",{"text":117,"@type":113},"After approximately 1 year of conservative management with persistent symptoms, the patient underwent bursoscopic debridement of ossicles and the tibial tuberosity.",{"name":119,"@type":110,"acceptedAnswer":120},"How were outcomes assessed after surgery?",{"text":121,"@type":113},"Outcomes were followed using the WOMAC score, reported as 1/96 at 1 year and 0/96 at 2 years, indicating marked improvement.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},435683,1790758556,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090883568,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Case Report  \nUnresolved Osgood–Schlatter disease ina skeletally mature female managed with bursoscopic debridement  \nRohit Shrestha, MSa , Aashutosh Chaudhary, MBBSb , Amartya Dahal, MBBSb ,*, Sagar Maharjan, MSa , Ashkal Basi, MSa , Sushant Kumar Khadka, MSc  \nIntroduction and importance: Osgood–Schlatter disease is one of the common causes of knee pain among sports-practicing adolescents. It usually presents in skeletally immature adolescent males with unilateral knee pain. The disease is often self-imiting and managed conservatively.  \nCase presentation: We report a case of a female in her early 20s who presented with pain over the tibial tuberosity in the right knee for 6 years, with no history of involvement in any sports-related activities. The diagnosis was made based on the MRI of the right knee, which showed abnormal signal intensity in the tibial tuberosity. After conservative management for about 1 year, the patient underwent bursoscopic debridement of ossicles and tibial tuberosity. The WOMAC score at follow-up of 1 year and 2 years was 1/96 and 0/96, respectively.  \nClinical discussion: Osgood–Schlatter disease is common in adolescents involved in sports-related activities, with earlier onset in females due to earlier bone maturation. Presentation in skeletally mature females and without a history of sports-related activities is rare. Usually, 90% of the cases improve with conservative management; however, surgical debridement was required in our case. Conclusion: Osgood–Schlatter disease should be considered a differential diagnosis for anterior knee pain in a young adult. Bursoscopic debridement can be performed in patients with persistent knee pain that is unresponsive to medical management. Keywords: bursoscopy, knee pain, Osgood–Schlatter, skeletally mature  \nIntroduction  \nOsgood–Schlatter disease is one of the common causes of knee pain among sports-practicing adolescents[1,2] . The disease involves osteochondritis or traction apophysitis of the tibial tuberosity. It often presents in the skeletally immature adolescent age group with unilateral anterior knee pain, with or without swelling[3]. It is more common among males, with the male-to-female ratio ranging between 3:1 and 14:1[4,5]. The disease is often self-limiting, and patients are typically managed with conservative treatment[6] . However, rarely, if the symptoms persist despite medical management, surgical management is suggested[7,8].  \naDepartment of Orthopedics and Traumatology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Nepal, bKathmandu University School of Medical Sciences, Dhulikhel, Nepal and cDepartment of Orthopedics, Sindhuli Hospital, Sindhuli, Nepal  \nSponsorships or competing interests that may be relevant to content are disclosed at the end of this article.  \n*Corresponding author. Address: Kathmandu University School of Medical Sciences, Dhulikhel 45210, Bagmati, Nepal. Tel.: +977 9804395036.  \n[E-mail: amartya.dhl12@gmail.com](E-mail: amartya.dhl12@gmail.com) (A. Dahal).  \nCopyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. This isan open access article distributed under the terms of the Creative Commons AttributionNon Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Annals of Medicine & Surgery (2026) 88:876–880  \nReceived 6 July 2025; Accepted 18 November 2025  \nPublished online 3 December 2025  \n[http://dx.doi.org/10.1097/MS9.0000000000004474](http://dx.doi.org/10.1097/MS9.0000000000004474)  \nHIGHLIGHTS  \n● Osgood–Schlatter disease should be considered a differential diagnosis of anterior knee pain in a young adult.  \n● Radiological investigation can aid in the diagnosis of patients with atypical presentations.  \n● Adult patients with Osgood–Schlatter disease, experiencing persistent knee pain and failed me","cbCaipsmWvUrlZQf","https://ap.wps.com/l/cbCaipsmWvUrlZQf","pdf",1420048,"English","# Introduction and importance\n# Case presentation\n# Clinical discussion\n# Conclusion\n# Case details\n## Examination and imaging\n## Treatment and follow-up","[{\"question\":\"Why was Osgood–Schlatter disease considered in this case?\",\"answer\":\"The patient presented with anterior knee pain localized to the tibial tuberosity. The diagnosis was supported by right knee MRI findings showing abnormal signal intensity in the tibial tuberosity.\"},{\"question\":\"What treatment approach was used after conservative management failed?\",\"answer\":\"After approximately 1 year of conservative management with persistent symptoms, the patient underwent bursoscopic debridement of ossicles and the tibial tuberosity.\"},{\"question\":\"How were outcomes assessed after surgery?\",\"answer\":\"Outcomes were followed using the WOMAC score, reported as 1/96 at 1 year and 0/96 at 2 years, indicating marked improvement.\"}]","Unresolved Osgood–Schlatter disease in a skeletally mature female managed with bursoscopic debridement - Case Report | PDF",1790674736,13]