Osteochondritis Dissecans of the Elbow

Woodward, Anthony H.; Bianco, Anthony J.

doi:10.1097/00003086-197507000-00007

Cited by 111 publications

(39 citation statements)

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“…Aseptic osteonecrosis is a rare disorder of the elbow; osteochondritis dissecans (OCD) is more common [5]. Both occur most frequently in the capitulum of the humerus [1,5,6].…”

Section: Discussionmentioning

confidence: 99%

“…Both occur most frequently in the capitulum of the humerus [1,5,6]. In the course of an analysis of 1200 plain radiographs of the elbow, Hegemann found aseptic osteonecrosis of the humeral capitulum in nine patients, of the humeral trochlea in three, and of the radial head in two [1].…”

Section: Discussionmentioning

confidence: 99%

“…Later, an island of subchondral bone becomes demarcated by a rarefied zone. If the central fragment separates, one or more loose bodies will be seen and the articular surface will be irregular [5]. The radiological signs of osteonecrosis depend on the patient's age.…”

Section: Discussionmentioning

confidence: 99%

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Gadopentetate-dimeglumine-enhanced MR imaging of osteonecrosis and osteochondritis dissecans of the elbow: initial experience

et al. 1995

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Magnetic resonance imaging (MRI) was performed on seven patients with aseptic osteonecrosis (n = 4) and osteochondritis dissecans (OCD; n = 3) of the elbow. Precontrast MRI was superior to plain radiographs, which did not show any abnormality in three cases of osteonecrosis. On gadopentetate-dimeglumine-enhanced T1-weighted images, which were obtained in three patients with osteonecrosis and three patients with OCD, all cases of osteonecrosis demonstrated homogeneous enhancement of the lesions. All cases of OCD were diagnosed on plain radiographs. On MRI one showed significant enhancement of the loose body. In another case an incompletely enhancing loose body was surrounded by a diffusely enhancing region. In the third patient only a small marginal enhancement of the defect was observed. Our results suggest that MRI can improve the accuracy in diagnosis of aseptic osteonecrosis of the elbow. The use of gadopentetate dimeglumine allows the viability of the lesions or the loose bodies to be demonstrated and reparative tissue to be detected.

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“…Aseptic osteonecrosis is a rare disorder of the elbow; osteochondritis dissecans (OCD) is more common [5]. Both occur most frequently in the capitulum of the humerus [1,5,6].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Gadopentetate-dimeglumine-enhanced MR imaging of osteonecrosis and osteochondritis dissecans of the elbow: initial experience

et al. 1995

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“…5 Common presenting symptoms include lateral elbow pain, restricted range of motion, and mechanical indications. 1 Radiographic findings are subtle initially but the capitellum can appear flattened. With advancing disease, fragmentation and defects in the capitellum are apparent on plain radiography.…”

mentioning

confidence: 99%

Osteochondral Lesions of the Capitellum Do Not Affect Elbow Kinematics and Stability With Intact Collateral Ligaments: An In Vitro Biomechanical Study

Sabo

McDonald

Ferreira

et al. 2011

The Journal of Hand Surgery

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“…On physical examination, patients may experience pain and swelling at the radiocapitellar joint and decreased range of motion with flexion and extension. 8,9 The etiology of OCD lesions in the capitellum is uncertain, but it has been associated with repetitive microtrauma and ischemia. This disease process is similar to that of Panner's disease, which is seen in children under the age of 10.…”

mentioning

confidence: 99%