Capitellum Osteochondral Allograft Transplantation for Osteochondritis Dissecans of the Elbow

Samuelsen, Brian T.; Grantham, W. Jeffrey; Goldenberg, Brandon T.; Hazra, Rony-Orijit Dey; Hazra, Maria E. Dey; Hanson, Jared A.; Millett, Peter J.

doi:10.1016/j.jhsa.2023.01.020

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…OCA is an alternative to OATS for larger, uncontained, or unstable lesions 39 . Advantages of allograft transplantation use over autograft transfer include restoration of hyaline cartilage, matching the native radius of curvature, and avoidance donor site morbidity 21 , grade A indicates good evidence (Level I studies with consistent findings) for or against recommending intervention; grade B, fair evidence (Level II or III studies with consistent findings) for or against recommending intervention; grade C, poor-quality evidence (Level IV or V studies with consistent findings) for or against recommending intervention; and grade I, insufficient or conflicting evidence not allowing a recommendation for or against intervention.…”

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

“…secondary to autograft transfer 39 . This technique uses a posterolateral approach to visualize the radiocapitellar joint.…”

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

“…This technique uses a posterolateral approach to visualize the radiocapitellar joint. The lesion is then measured with sizing dowels, followed by reaming of the OCD lesion 39 . The graft is then cut and contoured to fit the prepared lesion.…”

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

“…The graft is then cut and contoured to fit the prepared lesion. The graft is press fit in the recipient site with the cartilage surface or the donor plug in line with the surrounding cartilage surface 39 . Mirzayan and Lim 40 reported on outcomes in 6 pitchers and 3 position players following OCA for capitellar OCD.…”

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

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Management of Capitellar Osteochondritis Dissecans

Akins,

Javid,

Stone

2024

JBJS Reviews

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» Osteochondritis dissecans of the capitellum is a localized compromise of bone that may lead to subchondral collapse with articular cartilage damage and loose body formation.» The etiology is multifactorial; proposed mechanisms include repetitive microtrauma, vascular insufficiency, and genetic predisposition.» Diagnosis is based on patient presentation, clinical examination, diagnostic imaging, and intraoperative findings.» Management is dependent on lesion characteristics, with stable lesions amenable to nonoperative treatment and unstable lesions managed with surgical intervention.» Adolescent athletes can expect a return to their preinjury level of activity or competition following indicated surgical intervention.

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Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

“…secondary to autograft transfer 39 . This technique uses a posterolateral approach to visualize the radiocapitellar joint.…”

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

See 2 more Smart Citations

Management of Capitellar Osteochondritis Dissecans

Akins,

Javid,

Stone

2024

JBJS Reviews

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“…Although there is limited literature on the use of this technique for treating capitellar OCD, a study conducted by Mirzayan and Lim 76 has demonstrated promising rates of return to sports (100%) and favorable functional outcomes. A study by Samuelsen et al 77 describes a surgical technique where the patient is positioned supine. An arthrotomy is made in the interval between the anconeus and extensor carpi ulnaris.…”

Section: Operative Treatmentmentioning

confidence: 99%

Update in diagnosis, treatment, and prevention of osteochondritis dissecans of the capitellum

2023

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Osteochondritis dissecans of the capitellum is debilitating and is a potentially sports career-ending injury in a young and athletic population. Osteochondritis dissecans typically occurs in patients between the ages of 10 and 24 years, and boys are more commonly affected than girls. Conventional radiographs have low diagnostic accuracy, and magnetic resonance imaging (with or without contrast) or computed tomography may aid in accurate diagnosis. The primary indication for non-operative treatment is the presence of an intact cartilage cap on magnetic resonance imaging, indicating a “stable lesion.” However, if operative treatment is necessary, various surgical procedures are available when operative treatment for an osteochondritis dissecans of the capitellum is considered, including open or arthroscopic removal of loose bodies, with or without microfracturing, fragment fixation, osteochondral autograft transplantation, and osteochondral allograft transplantation. The decision-making process for selecting the appropriate treatment considers factors such as the patient's characteristics, functional limitations, and lesion morphology.

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