Osteochondritis dissecans capitellum

See full list on radiopaedia.org INTRODUCTION: Osteochondritis dissecans (OCD) of the humeral capitellum occurs primarily in young throwing athletes between the ages of 13 and 16. The cause is not entirely clear, but trauma and excessive use appear to play a major role. Mar 07, 2014 · Some docs consider that Panner’s disease is a precursor to a separate however related situation called osteochondritis dissecans of the capitellum (OCD), which happens in older kids. OCD is totally different from Panner’s illness because it doesn’t involve the growth plate. Osteochondritis dissecans (OCD) is a lesion of subchondral bone that may cause separation from and instability of overlying articular cartilage. The loose piece of bone and cartilage may migrate into the joint causing instability, pain, or locking. It is the most common cause of an intra-articular loose body in adolescents. Treatment options for capitellar OCD lesions are numerous, with great surgical innovations occurring within the past 10 years. The options progress along a spectrum of aggressiveness and include simple rest,17arthroscopic debridement and drilling,19fragment fixation,8and autograft or allograft transfer.

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RESULTS An osteochondritis dissecans lesion with an open capitellar physis and a good range of elbow motion resulted in a good outcome. Continued elbow stress resulted in the worst outcome in terms of pain and radiographic findings. In patients with a closed capitellar physis, surgery provided significantly better results than elbow rest (p<0.01).

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Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion. Osteochondritis dissecans occurs most often in children and adolescents.


See full list on kneeocd.org

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