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Abstract
Endoscopy of extraarticular cavities, clefts, and recesses is routinely performed
today. Endoscopy of the deep infrapatellar bursa of the knee is an additional new
field for minimal invasive exploration and surgery, the more so as this area can be
penetrated without major additional tissue damage following arthroscopy of the knee.
The indications for endoscopy of the infrapatellar recess are ossicle formation and
osteophytes in Osgood Schlatter's disease, infrapatellar tendinopathy, and bursitis.
Endoscopic surgery consists in bursa resection, shaving of the backside of the distal
patella tendon, and removel of ossicles and osteophytes. In three cases of Osgood
Schlatter's disease, the deep infrapatellatendon recess was successfully decompressed
by endoscopic methods. The potenetial danger of this endoscopic procedure is iatrogenic
damage of the patella insertion area.
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© 1996 Published by Elsevier Inc.