The etiology of osteochondritis dissecans (OCD) of the capitellum is unknown but has generally been attributed to repetitive microtrauma or ischemia. We present a case report of a handball player with OCD of the capitellum. Preoperatively, he complained of elbow pain. CT imaging showed the injury. This patient was treated with mosaicplasty harvested from the lateral femoral condyle. He returned to his full former sports activities within 6months of surgery. The continuity of the cartilage layer between the osteochondral graft and the capitellum was shown on CT arthrogram images at 12months after surgery. We believe that mosaicplasty gives successful results with end-stage OCD of the capitellum.
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Management of osteochondritis dissecans lesions of the elbow including return to sport remains variable among orthopaedic surgeons.
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Washington University in St. Louis, 14532 South Outer Forty Drive, Chesterfield, MO, 63017, USA.
Article Synopsis
- 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.
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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
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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 PDFAdvances in Ultrasound-Guided Surgery and Artificial Intelligence Applications in Musculoskeletal Diseases.
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Foot and Ankle Injury Research (FAIR), Division of Foot and Ankle, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA.
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Sagittal computed tomography evaluation of osteochondritis dissecans of the capitellum correlates with clinical outcomes of arthroscopic debridement in adolescent baseball players.
J ISAKOS
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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.
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