Conservative Treatment for Osteochondrosis of the Humeral Capitellum

Matsuura, Tetsuya; Kashiwaguchi, Shinji; Iwase, Takeshi; Takeda, Yoshitsugu; Yasui, Natsuo

doi:10.1177/0363546507312168

Cited by 125 publications

(133 citation statements)

References 29 publications

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“…In general, early-stage OCD or stable lesion on the joint can be managed non-operatively with good outcomes [5,11]. 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].…”

Section: Discussionmentioning

confidence: 99%

Is there any difference between open and arthroscopic treatment for osteochondritis dissecans (OCD) of the humeral capitellum: a systematic review and meta-analysis

Guo

et al. 2018

International Orthopaedics (SICOT)

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Purpose We present a systematic review of the recent literatures regarding the arthroscopic and open technique in fragment fixation for osteochondritis dissecans (OCD) of the humeral capitellum and an analysis of the subjective and objective outcomes between these two procedures. Methods PubMed and EMBASE were reviewed for suitable articles relating to fragment fixation for OCD, both open and arthroscopic. We included all studies reporting on the clinical outcomes of these two procedures that were published in the English language. Data extracted from each study included level of evidence, number of patients, surgical techniques, length of follow-up, clinical outcome measures including outcome scores, range of motion (ROM), return to sports, osseous union and complications. We analyzed each study to determine the primary outcome measurement.

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Section: Discussionmentioning

confidence: 99%

Is there any difference between open and arthroscopic treatment for osteochondritis dissecans (OCD) of the humeral capitellum: a systematic review and meta-analysis

Guo

et al. 2018

International Orthopaedics (SICOT)

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“…This involves immediate cessation of aggravating activities that load the radiocapitellar joint, i.e., throwing, gymnastics, weightlifting [6,7,19,40,41]. Some authors advocate the use of a hinged elbow brace for a period of 1-6 weeks in the initial resting period to allow intermittent range of motion exercises to prevent stiffness, while others recommend rest without immobilization [6,19].…”

Section: Non-operative Treatmentmentioning

confidence: 99%

“…Those patients who did not improve with 6 months of conservative therapy went on to surgery [40]. Griewe et al reported that patients with not only abnormal T1 signals but also abnormal T2 signals on MRI without rim enhancement or obvious defect (both indicative of stable lesions) can initially be treated conservatively.…”

Section: Non-operative Treatmentmentioning

confidence: 99%

Osteochondritis dissecans of the elbow

Churchill

Muñoz

Ahmad

2016

Curr Rev Musculoskelet Med

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Capitellar osteochondritis dissecans (OCD) can be a significant problem in adolescent overhead athletes. The cause is likely multifactorial secondary to repetitive stresses, biomechanical mismatch, and a tenuous vascular supply of the capitellum. Recent literature reveals that the prevalence is likely higher than previously thought. This, in conjunction with increased levels of athletic competition in children at younger ages, has fed the recent interest in this topic. The literature continues to show that non-operative treatment is still successful for stable lesions. Unstable lesions, therefore, have been the focus of the new literature regarding operative management and outcomes. The aim of this paper is to provide a summary of current literature and an up-to-date approach to the diagnosis, evaluation, and treatment of osteochondritis dissecans of the capitellum.

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“…Sclerosis, fissuring, and fragmentation of the capitellum are also frequently observed. Matsuura et al 6) classified osteochondrosis of the humeral capitellum according to three stages. Stage I was characterized by translucency.…”

Section: )mentioning

confidence: 99%

Panner's Disease Occurred in a Five-year-old Child: A Preliminary Case Report

Kim

Heo

et al. 2016

Clinics in Shoulder and Elbow

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Panner's disease, osteonecrosis of the capitellum of the elbow, was first reported by Panner in 1927. The disease occurs mainly in boys between 6 and 15 years old and shows unilateral distribution. Pain, stiffness, localized tenderness over the lateral condyle of the elbow, and decreased range of motion are the typical clinical symptoms. Conservative treatment is generally recommended for patients in the early stage of this disease. A few cases of Panner's disease have been reported and few are related to long-term follow-up results. To the best of our knowledge, all reported cases were over six years. Therefore, we report on a five-year-old boy diagnosed as Panner's disease that showed resorption and regeneration of the humeral capitellum with no limitation of motion over three years.

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Conservative Treatment for Osteochondrosis of the Humeral Capitellum

Abstract: Osteochondrosis of the humeral capitellum can be successfully treated conservatively if treatment is begun in an early stage of the disease.

Cited by 125 publications

References 29 publications

Is there any difference between open and arthroscopic treatment for osteochondritis dissecans (OCD) of the humeral capitellum: a systematic review and meta-analysis

Is there any difference between open and arthroscopic treatment for osteochondritis dissecans (OCD) of the humeral capitellum: a systematic review and meta-analysis

Osteochondritis dissecans of the elbow

Panner's Disease Occurred in a Five-year-old Child: A Preliminary Case Report

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