2011
DOI: 10.1016/j.jhsa.2011.05.024
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Arthroscopic Debridement of the Humeral Capitellum for Osteochondritis Dissecans: Radiographic and Clinical Outcomes

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Cited by 60 publications
(57 citation statements)
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“…In contrast, advanced OCD or unstable lesions generally require surgical management [10,29]. A variety of surgical techniques for OCD have been reported in the literatures with satisfied outcomes, such as debridement, drilling, fragment removal, fragment fixation, and autologous osteochondral mosaicplasty [16,26,[30][31][32][33]. Among these variety methods, fragment fixation should be considered when the fragment is amenable to being fixed.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, advanced OCD or unstable lesions generally require surgical management [10,29]. A variety of surgical techniques for OCD have been reported in the literatures with satisfied outcomes, such as debridement, drilling, fragment removal, fragment fixation, and autologous osteochondral mosaicplasty [16,26,[30][31][32][33]. Among these variety methods, fragment fixation should be considered when the fragment is amenable to being fixed.…”
Section: Discussionmentioning
confidence: 99%
“…3,5,16,17,19,26,40 Other indications are resection of symptomatic synovial plicae, 6,17 removal of loose bodies, 4,8,17,20,29 and treatment of osteochondritis dissecans. 14,24,32 Furthermore, arthroscopy can be a diagnostic tool to evaluate patients with chronic elbow pain. 18 The proximity of the neurovascular structures to the joint capsule and the narrow joint spaces make it a challenging procedure.…”
mentioning
confidence: 99%
“…Multiple surgical techniques have been proposed, including fragment excision, open or arthroscopic fragment fixation, arthroscopic d ebridement, with or without marrow stimulation, and most recently, OAT. 1,3,4,9,12,17,18,21,22,28 Currently, a clear consensus on surgical management does not exist. Fragment fixation, with or without bone grafting, has only been examined in small series, largely due to concern about the healing potential of loose or displaced fragments.…”
Section: Discussionmentioning
confidence: 99%
“…1,5,8,9,20,24 D ebridement techniques, with or without marrow stimulation, have shown good short-term to medium-term results, with marginal long-term outcomes. 2,18,21,[24][25][26] Of particular concern are large defects, defined as greater than 1 cm 2 in size or encompassing more than 50% of the articular surface, which are a risk factor for early degenerative arthritis if treated with d ebridement or microfracture. 2,21,23,25,26 Fragment fixation raises concern for healing given compromised blood flow and has resulted in high reoperation rates.…”
mentioning
confidence: 99%