Hegemann's Disease Detected with a Traumatic Olecranon Fracture

Abstract

Case: We describe a case of Hegemann's disease in a 10-year-old boy practicing karate. The disease was discovered by chance when evaluating a traumatic olecranon fracture. Radiography showed not only olecranon fracture but also a shortening of the epiphysis of the humeral trochlea and a segmental lesion with sclerosis. The trochlea lesion was considered asymptomatic Hegemann's disease. After the olecranon healed conservatively, the patient resumed karate activities and underwent follow-up radiography. The trochlea lesion gradually normalized after 2 years without symptoms. Conclusions: Regardless of the initial alarming radiographic findings, the lesion gradually healed, and the patient was able to return to sports activities.