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To the Editor.—
In QUESTIONS AND ANSWERS (239:143, 1978), Bernard R. Cahill, MD, gave his opinion that "Injection of hydrocortisone into the tibial tubercle has no role in the treatment of this condition" [Osgood-Schlatter disease].I would like to oppose this opinion strongly. In the first place, a patient wants treatment for a painful condition when one is available. The patient does not want to sit around doing nothing for one year, two years, or whatever length of time, if it can be avoided. He wants treatment, and taking someone out of activities is not much in the way of treatment, in my opinion.Personally, I have injected dozens of tibial tubercles over the years with a mixture of lidocaine (Xylocaine) and triamcinolone (Aristocort), not hydrocortisone, and rarely does one have to restrict the patient's activities.Also, in most cases the swelling goes down completely or considerably. To date, I
Grass AL. Treatment of Osgood-Schlatter Injury. JAMA. 1978;240(3):212. doi:10.1001/jama.1978.03290030030008