Osteochondritis Dissecans of Elbow Joint

doi:2005.8.2.63

Clin Shoulder Elb > Volume 8(2); 2005 > Article

Journal of the Korean Shoulder and Elbow Society 2005;8(2):63-67.
DOI: https://doi.org/10.5397/CiSE.2005.8.2.063 Published online December 30, 2005.

Osteochondritis Dissecans of Elbow Joint

Jeong-Hwan Oh, M.D., Jin-Hyung Choi, M.D., Jin-Young Park, M.D.*

Shoulder, Elbow and Sports Service Department of Orthopaedic Surgery, Konkuk Medical School, Seoul, Korea

박리성 골연골염, 주관절

오정환, 최진형, 박진영

건국대학교 의과대학원 정형외과학교실, 견·주관절 및 스포츠 크리닉

Abstract

Osteochondritis dissecans is a common cause of lateral elbow pain in throwing athletes and gymnasts between the age of 10 and 15 years. The pain frequently is insidious and progressive in nature and is relieved with rest in most cases. Compressive forces at the radiocapitellar joint along with a tenuous blood supply to the region may play a role in the etiology of this condition. Treatment is directed according to presenting symptoms, radiographic findings and status of the involved segment. Surgical management involves either an excision of a loose lesion and removal of loose bodies or reattachment of an osteochondral fragment. The role of subchondral penetration of debridement of the defect after fragment excision is unclear. Whether to excise and debride or to fix an unstale fragment is a highly controversial topic. The clinician should recognize osteochondritis dissecans of the elbow as a potentially disabling condition where the prognosis for return to sport is guarded