Is there any difference between open and arthroscopic treatment for osteochondritis dissecans (OCD) of the humeral capitellum: a systematic review and meta-analysis

Abstract

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.

Osteochondrosis dissecans des Ellenbogengelenks

“…In einem systematischen Review zeigten sich nach einem halben Jahr 75-100 % der refixierten Fragmente konsolidiert. Ohne einen Niveauunterschied zu messen, konnten den Ergebnissen folgend, bis zu 91,4 % wieder sportlich aktiv werden [28]. werden Chondrozyten meist aus der Femurkondyle außerhalb der Belastungszone explantiert, im Labor gezüchtet und nach einigen Wochen replantiert.…”

Prominent and fruitful development of orthopaedic research in China

“…In this study, there are three meta-analysis papers. Lu et al presented a systematic review of ten recent studies regarding the operative techniques for osteochondritis dissecans (OCD) of the humeral capitellum [33]. They found that arthroscopic lesion debridement with fragment fixation can treat unstable OCD as good as, if not better than open procedure.…”

Osteochondritis dissecans lesions of the capitellum in overhead athletes: a review of current evidence and proposed treatment algorithm

“…While the exact mechanism for OCD lesion formation remains unclear, a multi-factorial etiology-altered biomechanics, repetitive microtrauma, localized ischemia, and a genetic predisposition-is most likely [4][5][6][7]. When specifically assessing OCD of the capitellum, repetitive compression at the radiocapitellar articulation from either excessive valgus or axial loading is believed to play the predominant role [8]. Therefore, while capitellar OCD lesions have been described in athletes playing handball, basketball, kendo, lacrosse, and motocross, it is the overhead athlete-baseball players and gymnasts-who are most commonly affected by this disorder [3,8,9].…”

“…When specifically assessing OCD of the capitellum, repetitive compression at the radiocapitellar articulation from either excessive valgus or axial loading is believed to play the predominant role [8]. Therefore, while capitellar OCD lesions have been described in athletes playing handball, basketball, kendo, lacrosse, and motocross, it is the overhead athlete-baseball players and gymnasts-who are most commonly affected by this disorder [3,8,9]. In fact, the highest reported incidence is in youth baseball players ranges between 1 and 7% [10][11][12].…”