Autologous Osteochondral Mosaicplasty for Osteochondritis Dissecans of the Elbow in Teenage Athletes

Iwasaki, Norimasa; Kato, Hiroyuki; Ishikawa, Jun; Masuko, Tatsuya; Funakoshi, Tadanao; Minami, Akio

doi:10.2106/jbjs.j.00214

Cited by 60 publications

(79 citation statements)

References 15 publications

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“…Shimada et al 4) reported excellent results in 80% of their patients, and Iwasaki et al 6) showed that 94.4% of their patients had good or excellent outcomes and 88.9% returned to sports activities. Neither group mentioned the use of the elbow brace in their reports 4,6) . Lyons et al 2) reported better clinical outcomes in adolescent athletes, with a 100% return rate to former sports activities.…”

Section: Discussionmentioning

confidence: 98%

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Elbow Brace Promotes Postoperative Rehabilitation of Osteochondral Graft in Young Athletes with Osteochondritis Dissecans of the Humeral Capitellum

Maniwa

Tadenuma

Sakai

et al. 2017

PRM

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Section: Discussionmentioning

confidence: 98%

“…There are many reports of good results of osteochondral grafting for OCD of the elbow [4][5][6] . Shimada et al 4) reported excellent results in 80% of their patients, and Iwasaki et al 6) showed that 94.4% of their patients had good or excellent outcomes and 88.9% returned to sports activities.…”

Section: Discussionmentioning

confidence: 99%

Elbow Brace Promotes Postoperative Rehabilitation of Osteochondral Graft in Young Athletes with Osteochondritis Dissecans of the Humeral Capitellum

Maniwa

Tadenuma

Sakai

et al. 2017

PRM

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“…6 In another study of bone-peg grafting and/ or insertion of a resorbable pin for unstable OCD lesions but attached to the bony bed of the capitellum, 6 of 7 patients achieved bony union and one failed. 5 In studies of osteochondral plug grafting for OCD grade III and IV lesions, the mean TimmermanAndrews score has been reported to improve significantly: from 150 to 180 with 77% of patients able to resume their former level of sport, 10 from 131 to 191 with 90% of patients able to resume their former level of sport, 11 and from 130 to 190 with 91% of patients able to resume their competitive level after a mean of 6.9 months. 12 In our study, the score improved from 163 to 189 with 70% of patients able to resume sport at a competitive level.…”

Section: Discussionmentioning

confidence: 99%

Bone-Peg Grafting for Osteochondritis Dissecans of the Humeral Capitellum

Maruyama

Harada

Satake

et al. 2016

J Orthop Surg (Hong Kong)

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Purpose. To review the outcome of bone-peg grafting for osteochondritis dissecans (OCD) grade II lesions of the humeral capitellum. Methods. Records of 10 male adolescent baseball players aged 10 to 15 (mean, 12.3) years who underwent bone-peg grafting for OCD grade II lesions of the humeral capitellum of the dominant arm were reviewed. The mean time from symptom onset to presentation was 11 (range, 1-36) months. The mean duration of conservative treatment was 5 (range, 1-25) months. The mean time from symptom onset to surgery was 17 (range, 3-39) months; it was >6 months in 6 patients. The mean size of the lesions was 13x14 mm. Patients were assessed for elbow pain, range of elbow and forearm motion, TimmermanAndrews elbow score, return to sports activity level, and radiographic evidence of healing, osteoarthritic changes, and radial head hypertrophy. Results. The mean follow-up period was 25 (range, 10-52) months. Postoperatively, elbow pain was absent in 6, mild in 2, and moderate in 2 patients. The mean range of elbow motion changed from 136º to 139° (p=0.80). The mean Timmerman-Andrews elbow score improved from 163 to 189 (p=0.014); it was excellent in 7, good in 2, and fair in one Bone-peg grafting for osteochondritis dissecans of the humeral capitellum

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“…When the OCD fragment is not salvageable, autograft osteochondral plugs can be taken from the knee [50][51][52] or harvested from either the fifth or sixth costal-osteochondral junction and implanted [41,53,54]. Most surgeons who perform capitellar OATS more commonly utilize the knee as a source for donor graft due to the familiarity of the anatomy and avoidance of complications associated with iatrogenic injury to the costal pleura.…”

Section: Arthroscopic Managementmentioning

confidence: 99%

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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Autologous Osteochondral Mosaicplasty for Osteochondritis Dissecans of the Elbow in Teenage Athletes

Cited by 60 publications

References 15 publications

Elbow Brace Promotes Postoperative Rehabilitation of Osteochondral Graft in Young Athletes with Osteochondritis Dissecans of the Humeral Capitellum

Elbow Brace Promotes Postoperative Rehabilitation of Osteochondral Graft in Young Athletes with Osteochondritis Dissecans of the Humeral Capitellum

Bone-Peg Grafting for Osteochondritis Dissecans of the Humeral Capitellum

Elbow Injuries in the Adolescent Thrower

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