Osteochondritis Dissecans of the Capitellum in Fraternal Twins: Case Report

Kenniston, Julia A.; Beredjiklian, Pedro K.; Bozentka, David J.

doi:10.1016/j.jhsa.2008.05.008

Cited by 28 publications

(19 citation statements)

References 27 publications

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“…Ischemia, on the other hand, has been suggested for areas that are not susceptible to injury [11]. Genetic and developmental factors are still relatively unstudied, but it has been reported as a cause by Woods and Harris [23] in identical twins and by Kenniston et al [14] in fraternal twins. Our two cases add to the literature to help support the idea that there may be a genetic predisposition to OCD.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Osteochondritis Dissecans in Twins

Mackie

Wilkins

2010

Clinical Orthopaedics &Amp; Related Research

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Osteochondritis dissecans is a lesion of subchondral bone with subsequent involvement of the overlying cartilage. Although the etiology of the disease is unknown, mechanical, traumatic, and ischemic etiologies have been suggested, in addition to developmental and genetic factors. There are several treatment options depending on the stage of the disease and surgeon preference. The use of a fresh osteochondral allograft for treatment of a lesion of the femoral condyle is relatively new, and we report its use in a unique situation involving identical twins who both presented with osteochondritis dissecans of the same anatomic location within 2 years of each other. Since these were identical lesions in identical twins, this commonality supports the suggestion that some genetic component may be present in the etiology, especially in this situation where a genetic connection existed. We recommend genetic studies to determine the extent of genetic influence on the disease.

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Section: Introductionmentioning

confidence: 99%

Case Report: Osteochondritis Dissecans in Twins

Mackie

Wilkins

2010

Clinical Orthopaedics &Amp; Related Research

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“…Trauma has also been suggested as a cause of osteochondritis dissecans. History of frequent repetitive overuse of the elbow is common in people who have osteochondritis dissecans [6]. Some patients may have genetic predisposition, as suggested by the rate of osteochondritis dissecans occurring bilaterally and in multiple locations, although hereditary influences are probably slight.…”

Section: Discussionmentioning

confidence: 99%

“…Some patients may have genetic predisposition, as suggested by the rate of osteochondritis dissecans occurring bilaterally and in multiple locations, although hereditary influences are probably slight. Kenniston JA et al [6] presented a case report of fraternal twins with OCD lesions in their non-dominant arms without a known history of repetitive injury to the elbow. Conservative treatment was preferred for our patient since he had early lesion with no mechanical symptoms and the overlying cartilage of the elbow was intact.…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Elbow Pain: Hegemann’s Disease

Alıcı¹,

İmren²,

Gundes³

2015

Ann Clin Anal Med

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ÖzetTravma olmaksızın dirsek ağrısı çocuklarda ergenlik öncesi dönemde nadir gö-rülür. Bu dönemde kronik dirsek ağrısı, şişlik ve eklem hareket kaybı osteokondral lezyonlara bağlı olabilir. Osteokondritis dissekans, subkondral kemik ile eklem kıkırdağının subkondral kemikteki bir lezyona bağlı ayrışması olarak tanımlanır. Özellikle diz, ayak bileği ve dirsek eklemlerinde görülür. Dirsek osteokondrozunda birincil olarak kapitellum etkilenmekteyken, troklea osteonekrozu ile ilgili az sayı-da olgu bildirilmiştir. Bu yazıda yakın zamanda travma öyküsü olmayan, ergenlik öncesi dönemde bulunan, klinik ve radyolojik olarak tek taraflı troklea osteokondral lezyonu ile uyumlu olan bir olgu sunulmuştur. Hastada son 3 haftadır daha önce belirti vermeyen, günlük aktivitelerde ortaya çıkan sağ dirsek ağrısı mevcuttu. 2 hafta uzun kol atelde takip edilen hastada şikayetlerin devamı üzerine dirsek MR görüntülemesine ihtiyaç duyuldu. Tanı konduktan sonra cerrahi dışı tedavi ile başarılı sonuç elde edildi. Çocuklarda rezidüel deformitenin tanınması ve uygun tedavisi için takipte dikkatli olunmalıdır. Anahtar KelimelerOsteokondrit; Dirsek; Ağrı Abstract Non-traumatic elbow pain is rarely seen in children and pre-adolescents. Osteochondral lesions may be the source of chronic elbow pain, swelling, and loss of motion in children or adolescents. Osteochondritis dissecans (OCD) is described as a lesion of subchondral bone resulting in separation of the articular cartilage and subchondral bone. It is found primarily in the knee, ankle, and elbow joints. Since osteochondrosis of the elbow primarily involves capitellum, few papers involving osteonecrosis of the trochlea have been reported. This paper discusses a pre-adolescent boy with clinical and radiographic signs consistent with unilateral osteochondral lesion of the trochlea humeri, with no history of recent trauma. The patient had insidious onset of right elbow pain during daily activities for the last 3 weeks. After usage of long arm splint for 2 weeks, persistence of the symptoms necessitated MRI of the affected elbow. After the diagnosis, non-operative management was achieved. Care should be taken for the affected children to recognize any residual deformity and to treat it properly at follow up.

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“…The etiology of OCD is incompletely understood. Although it is thought to have a genetic component (Kenniston et al 2008), the etiology currently favored by clinicians is repetitive traumatic events that cause microfractures, osteonecrosis, and eventual separation of a loose body (Gangley et al 2006). Overuse of a joint puts physically active, skeletally immature individuals at high risk of developing OCD (Jones and Miller 2001).…”

Section: Osteochondritis Dissecans (Ocd) Ismentioning

confidence: 99%

Preliminary Investigations of The Bioarchaeology of Medieval Giecz (XI-XII C.): Examples of Trauma and Stress

Agnew

Justus

2014

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Human skeletal remains from past populations are an invaluable source to objectively study biological history. The combined biological and cultural assessment of bioarchaeology offers a unique perspective on the adaptation of people to their environment. This study summarizes a portion of ongoing work to decipher trends related to health and lifestyle in early medieval (XI-XII c.) Giecz, Poland. The skeletal assemblage from Giecz, the "Giecz Collection", represents a community positioned at a major center of political, economic, and religious power during this important time in Polish history. Non-violent traumatic injuries were investigated to elucidate trends related to possible types and rigor of activities and linear femoral growth trends were analyzed to assess patterns of stress. Preliminary results suggest that all members of the community (men, women, and adolescents) contributed to a lifestyle characterized by repetitive hard-work. Furthermore, it appears that most individuals suffered from health insults negatively affecting their development and perhaps their mortality.

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Osteochondritis Dissecans of the Capitellum in Fraternal Twins: Case Report

Cited by 28 publications

References 27 publications

Case Report: Osteochondritis Dissecans in Twins

Case Report: Osteochondritis Dissecans in Twins

A Rare Cause of Elbow Pain: Hegemann’s Disease

Preliminary Investigations of The Bioarchaeology of Medieval Giecz (XI-XII C.): Examples of Trauma and Stress

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