Osteochondritis Dissecans of the Elbow

Bauer, Mats; Jonsson, K.; Josefsson, Per Olof; Lindén, Bjarne

doi:10.1097/00003086-199211000-00020

Cited by 196 publications

(115 citation statements)

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“…Although various surgical options have been advocated to treat advanced capitellar osteochondritis dissecans lesions, these procedures have been shown to provide only temporary relief of symptoms, and osteoarthritis can still result [1][2][3][4][5] . One way to achieve satisfactory long-term outcomes may be to resurface these lesions with hyaline cartilage.…”

Section: Introductionmentioning

confidence: 99%

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

Iwasaki¹,

Kato²,

Ishikawa³

et al. 2010

Journal of Bone and Joint Surgery

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DISCLOSURE:The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. 91-A, pp. 235991-A, pp. -66, October 2009 ABSTRACT FROM THE ORIGINAL ARTICLE 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.

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Section: Introductionmentioning

confidence: 99%

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

Iwasaki¹,

Kato²,

Ishikawa³

et al. 2010

Journal of Bone and Joint Surgery

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“…Despite these good short-term results, long-term studies have shown rates of osteoarthritis of the radiocapitellar joint as high as 61%, and 42% of patients were symptomatic at 23 years. 12,13 Techniques that incorporate drilling, microfracture, or abrasion chondroplasty result in the formation of fibrocartilage within the OCD lesion. 6 Because of poor long-term outcomes with less durable fibrocartilage, multiple authors have promoted autologous osteochondral transfer.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Capitellum Osteochondritis Dissecans With Micronized Allogeneic Cartilage Scaffold

Caldwell

Auerbach

Pearson

2017

Arthroscopy Techniques

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Osteochondritis dissecans (OCD) of the capitellum is a common disorder that causes pain and functional limitation in the adolescent elbow. Although conservative management is the first line of treatment, surgical intervention is usually recommended for patients with persistent mechanical symptoms, loose bodies, or unstable lesions. Elbow arthroscopy has become the gold standard to evaluate and treat symptomatic OCD lesions. Arthroscopic debridement and bone marrow stimulation have been shown to yield good short-term results. Unfortunately, long-term follow-up has shown less favorable outcomes, with degenerative changes frequently documented. Current marrow stimulation techniques promote the formation of fibrocartilage, which is known to be less durable than hyaline cartilage. We describe an arthroscopic technique of debridement and drilling supplemented with a micronized allogeneic cartilage scaffold to address OCD lesions of the capitellum in an effort to promote hyaline cartilage formation.

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“…Later disease manifests as pain through the entire range of motion or decreased range due to enlarged osteophytes or loss of joint space. OA elbow can be secondary to trauma, osteochondritis dissecans, synovial chondromatosis, [11] valgus extension overload and coronoid fracture. [12] On examination, primary OA elbow generally has tenderness on Palpation in the lateral soft spot, which is located in the center of a triangle on the lateral aspect of the elbow and is bordered by the tip of the olecranon, the lateral epicondyle, and the radial head.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Primary Elbow Osteoarthritis with Metabolic Syndrome in a Middle Aged Indian Woman: A Rare Case Report

Gulati¹,

Mukherjee²,

Mandal³

et al. 2017

AIMDR

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Elbow Arthritis is a rare condition characterized by loss of articular cartilage in the ulnotrochlear and radiocapitellar articulations. The symptoms include pain, stiffness and loss of motion while radiographic manifestations may include osteophytes, loss of joint space and subchondral cysts. Recently it has been suggested that there is chronic low grade systemic inflammation in osteoarthritis occurring as a part of greater inflammatory metabolic syndrome. Primary OA mainly affects weight bearing joints of the lower extremity. The common assertion that the elbow is not a weight-bearing joint should not suggest that the elbow does not bear load. Elbow osteoarthritis commonly affects middle aged men who indulge in strenuous activity. We present a case report of a middle aged Indian Woman having primary elbow osteoarthritis with metabolic syndrome.

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Osteochondritis Dissecans of the Elbow

Cited by 196 publications

References 0 publications

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

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

Arthroscopic Treatment of Capitellum Osteochondritis Dissecans With Micronized Allogeneic Cartilage Scaffold

Bilateral Primary Elbow Osteoarthritis with Metabolic Syndrome in a Middle Aged Indian Woman: A Rare Case Report

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