Osteochondritis Dissecans of the Capitellum: Current Concepts

Ruchelsman, David E.; Hall, Michael; Youm, Thomas

doi:10.5435/00124635-201009000-00007

Cited by 107 publications

(103 citation statements)

References 45 publications

Supporting

Mentioning

100

Contrasting

Unclassified

Order By: Relevance

“…That is why most of the authors believed that repetitive micro-trauma and ischemia is the primary cause of OCD [2,28]. 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].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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)

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Grade III lesions have complete discontinuity but are not dislocated. Grade IV lesions have an empty defect or a dislocated fragment lying within the bed [5]. For most stable lesions (grade I or II), the management usually starts with conservative treatment such as activity modification, rest, antiinflammatory drugs and physiotherapy.…”

Section: Introductionmentioning

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)

View full text Add to dashboard Cite

show abstract

“…It most likely represents a multifactorial process driven by recurring articular compression in a susceptible region with a tenuous or "watershed" vascular supply and suboptimal articular cartilage. 18,21,31,43 In general, individuals who are skeletally immature are more susceptible to recurrent epiphyseal microtrauma. 30 The blood supply to the immature capitellum is derived from vessels traversing the epiphyseal articular cartilage and is without collateral support until physeal closure.…”

Section: Etiologymentioning

confidence: 99%

“…30 The blood supply to the immature capitellum is derived from vessels traversing the epiphyseal articular cartilage and is without collateral support until physeal closure. 18,31 Therefore, repetitive radiocapitellar compression has the potential to compromise the blood supply to the…”

Section: Etiologymentioning

confidence: 99%

“…Various authors advocate for OAT when capitellar lesions are greater than 50% of the articular width due to the potential for radial head engagement and the decreased likelihood for good outcomes without procedures that restore bone stock and stability associated with an intact lateral column. 31,38 Recent clinical studies have established a precedent for the use of OAT for lateral lesions of the capitellum. Kosaka and colleagues 20 noted that in "lateral widespread" lesions, inferior outcomes were reported with osteochondral peg fixation compared with OAT.…”

Section: Indications For Oat In the Elbowmentioning

confidence: 99%

See 1 more Smart Citation

Current Concepts

Kirsch

Thomas

Bedi

et al. 2016

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: Osteochondritis dissecans (OCD) of the capitellum is a painful condition, which often affects young throwing athletes. Our current understanding regarding the etiology, risks factors, diagnosis, and efficacy of the available treatment options has expanded over recent years, however remains suboptimal. Recent data on patient-reported outcomes following osteochondral autograft transplantation (OAT) for the treatment of large osteochondral lesions of the capitellum have been promising but limited. This review seeks to critically analyze and summarize the available literature on the etiology, diagnosis, and reported outcomes associated with OCD of the capitellum and the use of OAT for its treatment. Methods: A comprehensive literature search was conducted. Unique and customized search strategies were formulated in PubMed, Embase, Scopus, Web of Science, and CENTRAL. Combinations of keywords and controlled vocabulary terms were utilized in order to cast a broad net. Relevant clinical, biomechanical, anatomic and imaging studies were reviewed along with recent review articles, and case series. Results: Forty-three articles from our initial literature search were found to be relevant for this review. The majority of these articles were either review articles, clinical studies, anatomic or imaging studies or biomechanical studies. Conclusions: Current evidence suggests that OAT may lead to better and more consistent outcomes than previously described methods for treating large OCD lesions of the capitellum.

show abstract

Arthroscopic Management of Osteochondritis Dissecans of the Capitellum

Marks

Field

2014

Wrist and Elbow Arthroscopy

View full text Add to dashboard Cite

Osteochondritis Dissecans of the Capitellum: Current Concepts

Cited by 107 publications

References 45 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

Current Concepts

Arthroscopic Management of Osteochondritis Dissecans of the Capitellum

Contact Info

Product

Resources

About