Results of arthroscopic debridement for osteochondritis dissecans of the elbow

Rahusen, Frank T. G.; Jm, Brinkman; Eygendaal, Denise; Geest, I van der

doi:10.1136/bjsm.2006.030056

Cited by 98 publications

(58 citation statements)

References 28 publications

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“…The results reported in literature are extremely encouraging [10,18,20,21,25] allowing an increase ROM in both degenerative and post-traumatic cases. We obtained a quite satisfactory improved MEPI concerning the post-operative average 58 months follow up.…”

Section: Resultsmentioning

confidence: 64%

Elbow Arthroscopy in Stiff Elbow

Pederzini¹,

Tosi²,

Prandini³

et al. 2013

Elbow Arthroscopy

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The pathology of elbow stiffness can be categorized into both intra-articular and extra-articular derangements, which commonly occur in combination. The etiology of the stiff elbow, likewise, can be classified into nonarthritic causes, such as surgery, trauma and certain systemic conditions, and arthritic causes, such as osteoarthritis and rheumatoid arthritis. Current arthroscopic techniques can be used to successfully manage both the arthrofibrotic and the arthritic elbow, when appropriately indicated. This article will review the indications, management principles and arthro-scopic techniques for treating the stiff elbow, highlighting anatomic considerations, and the differences in technical guidelines when treating arthrofibrosis versus arthritis.

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Section: Resultsmentioning

confidence: 64%

Elbow Arthroscopy in Stiff Elbow

Pederzini¹,

Tosi²,

Prandini³

et al. 2013

Elbow Arthroscopy

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“…7 Arthroscopic debridement and bone marrow stimulation have yielded good short-term results in reduction of pain, improved range of motion, patient satisfaction, and return to sports. 7,8 Rahusen et al 9 found that 12 of 15 patients with unstable lesions returned to sports after arthroscopic debridement and abrasion chondroplasty. Ruch et al 10 found that all patients had pain relief and no limitations at 3.2 years' follow-up and that lesion size did not correlate with postoperative symptoms.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Capitellum Osteochondritis Dissecans With Micronized Allogeneic Cartilage Scaffold

Caldwell

Auerbach

Pearson

2017

Arthroscopy Techniques

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Osteochondritis dissecans (OCD) of the capitellum is a common disorder that causes pain and functional limitation in the adolescent elbow. Although conservative management is the first line of treatment, surgical intervention is usually recommended for patients with persistent mechanical symptoms, loose bodies, or unstable lesions. Elbow arthroscopy has become the gold standard to evaluate and treat symptomatic OCD lesions. Arthroscopic debridement and bone marrow stimulation have been shown to yield good short-term results. Unfortunately, long-term follow-up has shown less favorable outcomes, with degenerative changes frequently documented. Current marrow stimulation techniques promote the formation of fibrocartilage, which is known to be less durable than hyaline cartilage. We describe an arthroscopic technique of debridement and drilling supplemented with a micronized allogeneic cartilage scaffold to address OCD lesions of the capitellum in an effort to promote hyaline cartilage formation.

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“…Most data would support good to excellent outcomes with debridement and marrow stimulation procedures with 80-90% returning to preinjury level of play [35,32,56]. However, results appear to deteriorate in larger lesions with advanced stage.…”

Section: Surgical Outcomesmentioning

confidence: 98%

Elbow Injuries in the Adolescent Thrower

Griffith

Kercher

Willimon

et al. 2018

Curr Rev Musculoskelet Med

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Purpose of Review With an increasing rate of adolescent elbow injuries, especially in throwing athletes, the purpose of this review is to investigate the current literature regarding the diagnosis, treatment, and non-operative and operative outcomes of medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures. Recent Findings Acceptable outcomes with both non-operative and operative treatments of medial epicondyle fractures have been reported, with surgical indications continuing to evolve. Unstable osteochondritis dissecans lesions, especially in patients with closed growth plates, require operative fixation, and emerging open and arthroscopic techniques including lesion debridement, marrow stimulation, autograft transfer, and allograft transplantation are described with good outcomes. Ulnar collateral repair has emerged as an exciting treatment option for an avulsion of either end of the ligament in young throwing athletes, with faster rehabilitation times than traditional ulnar collateral ligament reconstruction. Olecranon stress fractures are increasing in prevalence, and when a non-operative treatment course is unsuccessful, athletes have a high return-to-play rate after percutaneous cannulated screw placement. Summary With proper indications, non-operative and operative treatment modalities are reported with a high return-to-play and acceptable clinical outcomes for common elbow injuries, including medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures, in adolescent throwing athletes. Further research is needed to better define treatment algorithms, surgical indications, and outcomes.

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Results of arthroscopic debridement for osteochondritis dissecans of the elbow

Cited by 98 publications

References 28 publications

Elbow Arthroscopy in Stiff Elbow

Elbow Arthroscopy in Stiff Elbow

Arthroscopic Treatment of Capitellum Osteochondritis Dissecans With Micronized Allogeneic Cartilage Scaffold

Elbow Injuries in the Adolescent Thrower

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