Panner's disease: Literature review and treatment recommendations

Abstract

PurposeTo determine the most up-to-date theory on the aetiology of Panner’s disease, to form a consensus on the assessment of radiographs and to evaluate clinical outcome in order to summarise the best available evidence for diagnosis and treatment.MethodsA review of studies to date on Panner’s disease. Studies were eligible if: (1) the study provided criteria for defining Panner’s disease in order to eliminate confounding data on other radiographic entities that were mistakenly grouped and presented as Panner’s disease; (2) original data of at least one patient was presented; (3) manuscripts were written in English, German or Dutch; and (4) a full-text article was available. Animal studies, reviews and expert opinions were not included. Because the majority of the studies were case reports, we did not use an overall scoring system to evaluate methodological quality.ResultsTwenty-three articles reporting on Panner’s disease were included. Most cases of Panner’s disease were unilateral in distribution and occurred in boys during the first decade of life. In general, conservative treatment is advised for Panner’s disease. Panner’s disease is a self-limiting disease and the majority of patients heal without clinical impairment.ConclusionsBased on the results of this review, Panner’s disease should be treated conservatively. Uniform names and descriptions of signs on radiographs would help to make the correct diagnosis. Since Panner’s disease is very rare, higher quality studies are not likely to be performed and, thus, this review provides the best level of evidence on the current knowledge about Panner’s disease.

Panner's Disease Occurred in a Five-year-old Child: A Preliminary Case Report

“…4) Claessen et al 3) reported an article reviewing 23 cases of Panner's disease. According to their findings, most cases of Panner's disease were unilateral in distribution and occurred in boys between 6 and 15 years of age and self-limiting disease healing without clinical impairments.…”

“…3) We report on the case of a 5-year-old boy who was younger than the other patients with Panner's disease.…”

Panner’s Disease: The Vacuum Phenomenon Revisited

“…Often there is history of trauma or repetitive stress, more specifically valgus stress or increased axial load to the elbow. Valgus stress is probably the most important factor in the pathogenesis of Panner’s disease under the age of five years [ 1 ].…”

Osteochondroses

“…Generally the reported outcomes in terms of function and range of motion were good regardless of the treatment. 8 No good comparative studies have shown one method to be superior over another.…”