A 14-year-old girl who was engaged in farming was admitted with the complaints of right elbow pain and limited range of motion in the elbow joint. Plain radiograph revealed capitellar osteochondritis dissecans. After the loose fragment was removed from the capitellum and the defect was curetted, a palmaris longus tendon graft harvested from the same hand was implanted into the capitellar defect. Elbow joint was immobilized for three weeks. Magnetic resonance imaging showed that tendon graft was successfully adapted into defect. The range of motion was preserved and she had no pain in the elbow joint. In conclusion, we suggest that tendon autograft can be used in the treatment of capitellar osteochondritis dissecans.
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Management of osteochondritis dissecans lesions of the elbow including return to sport remains variable among orthopaedic surgeons.
Arch Orthop Trauma Surg
December 2024
Washington University in St. Louis, 14532 South Outer Forty Drive, Chesterfield, MO, 63017, USA.
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- The study aimed to investigate current trends among surgeons in the evaluation and treatment of osteochondritis dissecans (OCD) lesions in the capitellum, noting the lack of consensus in management practices.
- The survey revealed that most surgeons prefer nonoperative treatment for stable lesions and typically use either drilling or fragment fixation for surgical intervention, with specific techniques varying based on the lesion's characteristics.
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Osteochondritis Dissecans of the Capitellum: Influence of Activity on Lesion Location Within a Zone of Propensity.
Am J Sports Med
December 2024
Scottish Rite for Children, Dallas, Texas, USA.
Background: There may be an association between repetitive stress on the elbow and capitellar osteochondritis dissecans (COCD). The influence of activity on the characteristics or specific location of the lesion within a capitellar zone of propensity remains unclear.
Purpose/hypothesis: The purpose of this study was to evaluate COCD in gymnasts and baseball players compared with a non-upper extremity (non-UE) sport COCD cohort.
Treatment and Early Outcomes of Capitellar Osteochondritis Dissecans.
Am J Sports Med
December 2024
Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Background: Treatment for osteochondritis dissecans (OCD) of the humeral capitellum has been predominantly guided by fragment stability and articular cartilage integrity. Nonoperative management is recommended for stable lesions, whereas surgical intervention is indicated for unstable lesions and those that fail nonoperative care. Several surgical options may be considered, although limited information is available regarding indications for specific surgical techniques and comparative postoperative results.
View Article and Find Full Text PDFSagittal computed tomography evaluation of osteochondritis dissecans of the capitellum correlates with clinical outcomes of arthroscopic debridement in adolescent baseball players.
J ISAKOS
December 2024
Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Objectives: To investigate the relationship between the size and location of osteochondral defects in capitellar osteochondritis dissecans (OCD) measured on coronal and sagittal reconstructed computed tomography (CT) images and the clinical outcomes of arthroscopic debridement in adolescent baseball players.
Methods: This retrospective study investigated the clinical outcomes of arthroscopic debridement for capitellar OCD in adolescent baseball players with ≥24 months of follow-up after surgery between 2008 and 2020. On preoperative coronal CT images, medial and lateral distance (%) were used to evaluate the location of the defect.
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