Table 1.

Advantages and Disadvantages of Arthroscopic Resection of Ossicles for Recalcitrant Osgood-Schlatter Disease

Advantages

All-arthroscopic approach usually only requiring 2-portal technique

No special hardware required with typical shavers, burrs, and radiofrequency electrode use

Standard knee arthroscopy approach familiar to most knee arthroscopists

Prevention of need for transpatellar tendon approach that may violate patellar tendon and require repair

Possible initiation of quicker physical therapy protocol owing to less patellar tendon injury

Disadvantages

Approach not appropriate for large intra–patellar tendon ossicles

Approach not appropriate for concomitant patellar tendinopathy

Potential risk of over-resection of prepatellar fat pad