Osteochondritis Dissecans of the Elbow Managed by Herbert Screw Fixation

Kuwahata, Yoshio; Inoue, Goro

doi:10.3928/0147-7447-19980401-10

Cited by 77 publications

(4 citation statements)

References 7 publications

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“…Kuwahata et al [81] documented the treatment of eight elbows afflicted by OCD of the capitellum, utilizing cancellous bone grafts and internal fixation with a Herbert screw. At an average follow-up of 32 months post-surgery, all patients reported being free from pain.…”

Section: Elbow Ocdmentioning

confidence: 99%

Understanding Osteochondritis Dissecans: A Narrative Review of the Disease Commonly Affecting Children and Adolescents

Konarski,

Poboży,

Konarska

et al. 2024

Children

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Background: Osteochondritis dissecans (OCD) is a joint disorder predominantly affecting the knee, elbow, and ankle of children and adolescents. This comprehensive review delves into the epidemiology, etiology, clinical manifestations, diagnostic approaches, and treatment of OCD. Results: The most common cause of OCD is repetitive microtrauma, typically associated with sports activities, alongside other significant factors such as genetic predisposition, ischemia, and obesity. In early stages or when lesions are small, OCD often presents as non-specific, vaguely localized pain during physical activity. As the condition progresses, patients may experience an escalation in symptoms, including increased stiffness and occasional swelling, either during or following activity. These symptom patterns are crucial for early recognition and timely intervention. Diagnosis in most cases is based on radiographic imaging and magnetic resonance imaging. Nonsurgical treatment of OCD in young patients with open growth plates and mild symptoms involves activity restriction, immobilization methods, and muscle strengthening exercises, with a return to sports only after symptoms are fully resolved and at least six months have passed. Surgical treatment of OCD includes subchondral drilling in mild cases. Unstable lesions involve methods like restoring the joint surface, stabilizing fractures, and enhancing blood flow, using techniques such as screws, anchors, and pins, along with the removal of fibrous tissue and creation of vascular channels. The specifics of OCD treatment largely depend on the affected site. Conclusions: This synthesis of current research and clinical practices provides a nuanced understanding of OCD, guiding future research directions and enhancing therapeutic strategies.

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Section: Elbow Ocdmentioning

confidence: 99%

Understanding Osteochondritis Dissecans: A Narrative Review of the Disease Commonly Affecting Children and Adolescents

Konarski,

Poboży,

Konarska

et al. 2024

Children

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“…63,67 This technique attempts to repair the articular surface using native hyaline tissue with the use of sutures, pins, darts, small anchors, or bone-peg grafts. 52,67,68–72…”

Section: Lateral Elbow Pathologymentioning

confidence: 99%

“…63,67 This technique attempts to repair the articular surface using native hyaline tissue with the use of sutures, pins, darts, small anchors, or bone-peg grafts. 52,67,[68][69][70][71][72] As arthroscopy of the elbow has evolved, it has become the mainstay treatment for OCD and has yielded good shortterm outcomes. Rahusen et al 73 found that 12 of 15 (80%) patients with unstable lesions returned to sports after arthroscopic debridement and abrasion chondroplasty with no reported complications.…”

Section: Ocdmentioning

confidence: 99%

“…64 In order to preserve native hyaline cartilage and minimize long-term degenerative changes, several studies have depended on the long-used method of fragment fixation, which has produced reliable results and high rates of union. 52,71,75 Maruyama et al 68 observed good clinical outcomes at 2-year follow-up for athletes who underwent bonepeg grafting for grade II lesions, while Uchida et al reported comparatively good results at 3 years when performing arthroscopic fragment fixation using absorbable thread pins on grade III lesions. 69 In addition, Hennrikus et al 76 reported good to excellent functional outcomes in the majority of patients undergoing internal fixation of unstable in situ OCD lesions of the capitellum particularly in younger patients with lesions less than 13 mm in sagittal width.…”

Section: Ocdmentioning

confidence: 99%

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Evaluation and management of elbow injuries in the adolescent overhead athlete

2021

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With an increased interest in youth sports, the burden of overhead throwing elbow injuries accompanying early single-sport focus has steadily risen. During the overhead throwing motion, valgus torque can reach and surpass Newton meters (N m) during the late cocking and early acceleration phases, which exceeds the tensile strength (22.7–33 N m) of the ulnar collateral ligament. While the ulnar collateral ligament serves as the primary valgus stabilizer between and degrees of elbow flexion, other structures about the elbow must contribute to stability during throwing. Depending on an athlete’s stage of skeletal maturity, certain patterns of injury are observed with mechanical failures resulting from increased medial laxity, lateral-sided compression, and posterior extension shearing forces. Together, these injury patterns represent a wide range of conditions that arise from valgus extension overload. The purpose of this article is to review common pathologies observed in the adolescent overhead throwing athlete in the context of functional anatomy, osseous development, and throwing mechanics. Operative and non-operative management and their associated outcomes will be discussed for these injuries.

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Osteochondrosen im Kindes- und Jugendalter

Schneider¹,

Raith

2006

Tscherne Unfallchirurgie

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Osteochondritis Dissecans of the Elbow Managed by Herbert Screw Fixation

Cited by 77 publications

References 7 publications

Understanding Osteochondritis Dissecans: A Narrative Review of the Disease Commonly Affecting Children and Adolescents

Understanding Osteochondritis Dissecans: A Narrative Review of the Disease Commonly Affecting Children and Adolescents

Evaluation and management of elbow injuries in the adolescent overhead athlete

Osteochondrosen im Kindes- und Jugendalter

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