Early Results of Drilling and/or Microfracture for Grade IV Osteochondritis Dissecans of the Capitellum

Early Results of Drilling and/or Microfracture for Grade IV Osteochondritis Dissecans of the Capitellum

BACKGROUND:Surgical treatment is recommended for patients with unstable osteochondritis dissecans (OCD) of the elbow. However, little information is available comparing the anticipated results from the host of techniques. In this investigation, clinical and radiographic resolution as well as return...

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Veröffentlicht in:Journal of pediatric orthopaedics 2016-12, Vol.36 (8), p.803-809
Hauptverfasser: Lewine, Eliza B, Miller, Patricia E, Micheli, Lyle J, Waters, Peter M, Bae, Donald S
Format: Artikel
Sprache:eng
Schlagworte:
Adolescent
Arthroscopy - methods
Elbow Joint - diagnostic imaging
Elbow Joint - surgery
Female
Humans
Magnetic Resonance Imaging
Male
Osteochondritis Dissecans - diagnosis
Osteochondritis Dissecans - surgery
Range of Motion, Articular - physiology
Sports
Treatment Outcome
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Zusammenfassung:BACKGROUND:Surgical treatment is recommended for patients with unstable osteochondritis dissecans (OCD) of the elbow. However, little information is available comparing the anticipated results from the host of techniques. In this investigation, clinical and radiographic resolution as well as return to sports rates were assessed in adolescent patients following loose body (LB) removal and drilling/microfracture of grade IV lesions. METHODS:We reviewed 21 adolescents treated with LB removal and drilling/microfracture for grade IV elbow OCD. Patients with additional elbow pathology, prior elbow surgery, or
ISSN:0271-6798
1539-2570
DOI:10.1097/BPO.0000000000000575