Treatment of Capitellar Osteochondritis Dissecans
نویسنده
چکیده
Osteochondritis dissecans (OCD) of the capitellum causes pain, motion deficits, and activity limitations. Evaluation requires a thorough history, physical examination, radiographs, and magnetic resonance imaging. Surgery is indicated for patients with stable lesions who fail nonoperative treatment or who have unstable lesions and particularly when mechanical symptoms are present. Treatment is based on the size and stability of the lesion. Surgical treatment options include drilling for stable intact lesions and chondroplasty with drilling for unstable lesions. Arthroscopic mosaicplasty is an option for large lesions that allow the radial head to engage within the capitellar lesion.
منابع مشابه
Dissecans Lesions Magnetic Resonance Imaging Staging to Evaluate the Stability of Capitellar Osteochondritis
http://ajs.sagepub.com/content/early/2014/05/08/0363546514532604 The online version of this article can be found at: DOI: 10.1177/0363546514532604 published online May 9, 2014 Am J Sports Med and Hiroyuki Kato Toshiro Itsubo, Narumichi Murakami, Kazutaka Uemura, Koichi Nakamura, Masanori Hayashi, Shigeharu Uchiyama Dissecans Lesions Magnetic Resonance Imaging Staging to Evaluate the Stability o...
متن کاملSurgical Treatment for Osteochondritis Dissecans of the Capitellum
CONTEXT Osteochondritis dissecans (OCD) of the capitellum is most often seen in adolescents who participate in sports that involve repetitive loading of the elbow. Unstable defects typically require surgical intervention that involves fragment fixation, debridement, or reconstruction with an osteochondral autograft transfer. Optimum surgical management of unstable defects remains controversial....
متن کاملOsteochondritis Dissecans of the Capitellum: A Case Report of Successful Arthroscopic Treatment
Introduction. Osteochondritis dissecans (OCD) of the capitellum is a localized disorder of the subchondral bone, in a region with limited healing capacity. Although its aetiology is still unknown, it has been associated with repetitive microtrauma. The natural history of this disease involves the evolution for degenerative joint disease in approximately half of the patients, with early identifi...
متن کاملMid to Long Term Outcome after Arthroscopic Fragment Resection for Capitellar Osteochondritis Dissecans in Adolescent Athlete
This open‐access article is published and distributed under the Creative Commons Attribution ‐ NonCommercial ‐ No Derivatives License (http://creativecommons.org/licenses/by‐nc‐nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article w...
متن کاملAutologous osteochondral mosaicplasty for osteochondritis dissecans of the elbow in teenage athletes: surgical technique.
BACKGROUND Although autologous osteochondral mosaicplasty is widely used as a procedure for osteochondritis dissecans lesions, the effectiveness of this procedure in elbow lesions remains unclear. Our aim was to clarify the surgical efficacy of mosaicplasty for teenage athletes with advanced lesions of capitellar osteochondritis dissecans. METHODS From 2001 to 2006, nineteen teenage male pati...
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