Osteochondritis dissecans of the capitellum: Arthroscopic-assisted treatment of large, full-thickness defects in young patients
Methods of treatment for mild juvenile osteochondritis dissecans (OCD) of the capitellum include activity modification and periods of immobilization, followed by therapy and range of motion exercises. Surgical treatment may be indicated if there are persistent symptoms, a loose body, the child is ap...
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description | Methods of treatment for mild juvenile osteochondritis dissecans (OCD) of the capitellum include activity modification and periods of immobilization, followed by therapy and range of motion exercises. Surgical treatment may be indicated if there are persistent symptoms, a loose body, the child is approaching skeletal maturity, or if magnetic resonance imaging reveals a fracture through the articular cartilage. We describe a technique of arthrotomy, using an arthroscope as a visual aid, for the treatment of large, full-thickness OCD lesions of the capitellum in young patients. The arthroscopic camera allows the surgeon to view difficult-to-see areas, and photographs can be taken throughout the procedure for documentation.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 2 (February), 2003: pp 222–225 |
doi_str_mv | 10.1053/jars.2003.50043 |
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Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 2 (February), 2003: pp 222–225</description><subject>Adolescent</subject><subject>Arthroscopy</subject><subject>Athletic Injuries - complications</subject><subject>Biological and medical sciences</subject><subject>Capitellum</subject><subject>Child</subject><subject>Children</subject><subject>Elbow Joint - injuries</subject><subject>Elbow Joint - physiopathology</subject><subject>Elbow Joint - surgery</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Osteochondritis dissecans</subject><subject>Osteochondritis Dissecans - etiology</subject><subject>Osteochondritis Dissecans - rehabilitation</subject><subject>Osteochondritis Dissecans - surgery</subject><subject>Panner’s disease</subject><subject>Range of Motion, Articular</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1P5DAQQK0T6Fj2rr7u5IbusjhxPhw6hI4PCYkG6mgyHrPmsknk8SJR8dfx3q5ERWG5eW_seUL8ytUqV5U-f4HAq0IpvaqUKvU3sciros50ofMjsVBN2WZG1fpEnDK_qMRpo7-Lk7yomjavzEK8P3CkCdfTaIOPnqX1zIQwspycjGuSCLOPNAzbzYW8DHEdJsZp9pgBs0-ylTEQxA2NcacMEJ7pj3TbYcji2uO_kThNJUcYWfpRvk3b8VnOEH0y-Ic4djAw_TzcS_F0_ffx6ja7f7i5u7q8z1CXRcycaitd9qBtib12ddO4skdA4yzahgCbvqISmiqdxhAY6I0rEFtnytokbynO93Mx_Z8DuW4OfgPhrctVt0vZ7VJ2u5Td_5TJ-L035m2_IfvJH9ol4OwAACMMLsCInj-59LCuU_ylaPccpf1ePYWOMe2OZH1IUTo7-S8_8QGt5ZUI</recordid><startdate>20030201</startdate><enddate>20030201</enddate><creator>Pill, Stephan G.</creator><creator>Ganley, Theodore J.</creator><creator>Flynn, John M.</creator><creator>Gregg, John R.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20030201</creationdate><title>Osteochondritis dissecans of the capitellum: Arthroscopic-assisted treatment of large, full-thickness defects in young patients</title><author>Pill, Stephan G. ; Ganley, Theodore J. ; Flynn, John M. ; Gregg, John R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-f09534ba3d4cb3f677f4bcac8fdcd7eac7b5e4a754a778ea8ab8f2cc9f8468ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Arthroscopy</topic><topic>Athletic Injuries - complications</topic><topic>Biological and medical sciences</topic><topic>Capitellum</topic><topic>Child</topic><topic>Children</topic><topic>Elbow Joint - injuries</topic><topic>Elbow Joint - physiopathology</topic><topic>Elbow Joint - surgery</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Osteochondritis dissecans</topic><topic>Osteochondritis Dissecans - etiology</topic><topic>Osteochondritis Dissecans - rehabilitation</topic><topic>Osteochondritis Dissecans - surgery</topic><topic>Panner’s disease</topic><topic>Range of Motion, Articular</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pill, Stephan G.</creatorcontrib><creatorcontrib>Ganley, Theodore J.</creatorcontrib><creatorcontrib>Flynn, John M.</creatorcontrib><creatorcontrib>Gregg, John R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pill, Stephan G.</au><au>Ganley, Theodore J.</au><au>Flynn, John M.</au><au>Gregg, John R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Osteochondritis dissecans of the capitellum: Arthroscopic-assisted treatment of large, full-thickness defects in young patients</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2003-02-01</date><risdate>2003</risdate><volume>19</volume><issue>2</issue><spage>222</spage><epage>225</epage><pages>222-225</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>Methods of treatment for mild juvenile osteochondritis dissecans (OCD) of the capitellum include activity modification and periods of immobilization, followed by therapy and range of motion exercises. Surgical treatment may be indicated if there are persistent symptoms, a loose body, the child is approaching skeletal maturity, or if magnetic resonance imaging reveals a fracture through the articular cartilage. We describe a technique of arthrotomy, using an arthroscope as a visual aid, for the treatment of large, full-thickness OCD lesions of the capitellum in young patients. The arthroscopic camera allows the surgeon to view difficult-to-see areas, and photographs can be taken throughout the procedure for documentation.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 2 (February), 2003: pp 222–225</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>12579158</pmid><doi>10.1053/jars.2003.50043</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Arthroscopy Athletic Injuries - complications Biological and medical sciences Capitellum Child Children Elbow Joint - injuries Elbow Joint - physiopathology Elbow Joint - surgery Humans Medical sciences Orthopedic surgery Osteochondritis dissecans Osteochondritis Dissecans - etiology Osteochondritis Dissecans - rehabilitation Osteochondritis Dissecans - surgery Panner’s disease Range of Motion, Articular Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment |
title | Osteochondritis dissecans of the capitellum: Arthroscopic-assisted treatment of large, full-thickness defects in young patients |
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