Classification, Treatment, and Outcome of Osteochondritis Dissecans of the Humeral Capitellum

Takahara, Masatoshi; Mura, Nariyuki; Sasaki, Junya; Harada, Mikio; Ogino, Toshihiko

doi:10.2106/00004623-200706000-00007

Cited by 202 publications

(68 citation statements)

References 25 publications

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“…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%

“…The surgical treatments are variable, including debridement, drilling or micro-fracture, fragment fixation, and osteochondral autograft transplantation [1,[7][8][9][10]. Among them, the debridement with fragment fixation is a time-tested procedure and one of the most widely used methods for surgical treatment of unstable capitellum OCD [11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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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)

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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.

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Section: Discussionmentioning

confidence: 99%

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)

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“…Plain radiographs showed displaced fragments in seven patients, whereas detached fragments were found in twelve patients. According to the radiographic classification system of Minami et al 4,15 , all elbows had a displaced or detached fragment (grade III). Ten lesions were located in the center of the capitellum (Fig.…”

Section: Patient Demographicsmentioning

confidence: 99%

“…Because of the limited potential of the articular cartilage for self-repair, the treatment of advanced capitellar osteochondritis dissecans lesions is challenging. Although various surgical options such as removal of the loose bodies with or without drilling or curettage, abrasion chondroplasty, and the reattachment of fragments have been advocated for treating advanced osteochondritis dissecans lesions, these procedures have been shown to provide only temporary relief of symptoms and osteoarthritis can still be the result [1][2][3][4][5] . The goals for treating capitellar osteochondritis dissecans, especially in young athletes, are to allow patients to Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work.…”

mentioning

confidence: 99%

“…This procedure has provided successful treatment of osteochondral defects in the knee and ankle joints [7][8][9] . For the past several years, a few studies have indicated the effectiveness of mosaicplasty in treating advanced lesions of capitellar osteochondritis dissecans as well as osteochondral defects in the knee and ankle joints 4,[10][11][12][13][14] . However, most have described only short-term follow-up of a small number of patients 4,[10][11][12][13] , including a mean two-year follow-up report on eight of the patients in the present series 11 .…”

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confidence: 99%

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

Iwasaki

Kato

Ishikawa

et al. 2009

The Journal of Bone and Joint Surgery-American Volume

121

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Background: Although autologous osteochondral mosaicplasty is widely used as a procedure for osteochondritis dissecans lesions, the effectiveness of this procedure in elbow lesions remains unclear. Our aim was to clarify the surgical efficacy of mosaicplasty for teenage athletes with advanced lesions of capitellar osteochondritis dissecans. Methods: From 2001 to 2006, nineteen teenage male patients who were competitive athletes and had advanced lesions of capitellar osteochondritis dissecans underwent mosaicplasties. The mean age of the patients was 14.2 years. The surgical technique involved obtaining small-sized cylindrical osteochondral grafts with a mean diameter of 3.5 mm from the lateral periphery of the femoral condyle at the level of the patellofemoral joint and transplanting the grafts (mean, 3.3 grafts) to prepared osteochondral defects. The patients were evaluated clinically and radiographically at a mean of forty-five months after surgery. Results: Eighteen patients were free from elbow pain, and one had mild pain occasionally. The mean total arc of elbow motion and standard deviation increased significantly from 112°± 17°preoperatively to 128°± 12°postoperatively (p < 0.005). The mean clinical score described by Timmerman and Andrews (with a maximum of 200 points) improved significantly from 131 ± 23 points preoperatively to 191 ± 15 points postoperatively (p < 0.0001). All patients except one had an excellent or good clinical result. All donor knees were graded as excellent on the basis of the Lysholm knee scoring system. All patients except two returned to a competitive level of the sport they had previously played. Neither loose-body formation nor secondary osteoarthritic changes were found in any patient. Conclusions: The current midterm results indicate that mosaicplasty can provide satisfactory clinical outcomes for teenage athletes with advanced capitellar osteochondritis dissecans lesions. Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence

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Osteochondritis Dissecans Lesions of the Elbow

Smith

Obey

2021

Evidence‐Based Orthopedics

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Classification, Treatment, and Outcome of Osteochondritis Dissecans of the Humeral Capitellum

Cited by 202 publications

References 25 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

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

Osteochondritis Dissecans Lesions of the Elbow

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