The surgical treatment of osteochondritis of the capitellum
This paper reviews 14 patients who underwent elbow arthrotomy for osteochondritis of the capitellum. The etiology in 7 of the 14 cases appears to be the result of repeated trauma from throwing sports. Five of the 14 described a singular significant traumatic episode, and in 2 of the 14, a clear etio...
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| Veröffentlicht in: | The American journal of sports medicine 1985-01, Vol.13 (1), p.11-21 |
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| creator | Mcmanama, George B. Micheli, Lyle J. Berry, Michael V. Sohn, Roger S. |
| description | This paper reviews 14 patients who underwent elbow arthrotomy for osteochondritis of the capitellum. The etiology in 7 of
the 14 cases appears to be the result of repeated trauma from throwing sports. Five of the 14 described a singular significant
traumatic episode, and in 2 of the 14, a clear etiology is uncertain. The diagnostic features including signs, symptoms, and
el bow range of motion are examined. The operative findings are correlated with plain x-ray films of the elbow in all cases
and with an elbow arthrogram in 11 out of 14 cases. The average length of followup was 24 months. The postoperative range
of motion was in creased an average of 18°. Eighty-six percent (12 out of 14) patients returned to organized, competitive
ath letic activity without restrictions.
The Little League background of those patients with apparent repetitive microtrauma to the elbow is exam ined in terms of
length of pitching experience and types of pitches thrown. In addition, the throwing mechanism of these patients is evaluated
with respect to the type of delivery at possible risk for the development of osteochondritis.
We conclude that after a failure of conservative ther apy, surgical treatment, including removal of the intraar ticular loose
bodies, excision of capitellar lesions, and curettage to bleeding bone can be expected to produce pain relief and improvement
in joint motion. A return to organized competitive sport activities can be expected. |
| doi_str_mv | 10.1177/036354658501300103 |
| format | Article |
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the 14 cases appears to be the result of repeated trauma from throwing sports. Five of the 14 described a singular significant
traumatic episode, and in 2 of the 14, a clear etiology is uncertain. The diagnostic features including signs, symptoms, and
el bow range of motion are examined. The operative findings are correlated with plain x-ray films of the elbow in all cases
and with an elbow arthrogram in 11 out of 14 cases. The average length of followup was 24 months. The postoperative range
of motion was in creased an average of 18°. Eighty-six percent (12 out of 14) patients returned to organized, competitive
ath letic activity without restrictions.
The Little League background of those patients with apparent repetitive microtrauma to the elbow is exam ined in terms of
length of pitching experience and types of pitches thrown. In addition, the throwing mechanism of these patients is evaluated
with respect to the type of delivery at possible risk for the development of osteochondritis.
We conclude that after a failure of conservative ther apy, surgical treatment, including removal of the intraar ticular loose
bodies, excision of capitellar lesions, and curettage to bleeding bone can be expected to produce pain relief and improvement
in joint motion. A return to organized competitive sport activities can be expected.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/036354658501300103</identifier><identifier>PMID: 3976976</identifier><language>eng</language><publisher>United States: American Orthopaedic Society for Sports Medicine</publisher><subject>Adolescent ; Adult ; Athletic Injuries - diagnostic imaging ; Athletic Injuries - surgery ; Elbow - diagnostic imaging ; Elbow - physiology ; Elbow - surgery ; Humans ; Joint Loose Bodies - diagnostic imaging ; Joint Loose Bodies - etiology ; Joint Loose Bodies - surgery ; Male ; Methods ; Movement ; Osteochondritis - diagnostic imaging ; Osteochondritis - surgery ; Postoperative Care ; Radiography</subject><ispartof>The American journal of sports medicine, 1985-01, Vol.13 (1), p.11-21</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-5c82f2cadc8f40213f1eafdefda6a9638d181c10879bde8fabe51c57f266259b3</citedby><cites>FETCH-LOGICAL-c495t-5c82f2cadc8f40213f1eafdefda6a9638d181c10879bde8fabe51c57f266259b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/036354658501300103$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/036354658501300103$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3976976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mcmanama, George B.</creatorcontrib><creatorcontrib>Micheli, Lyle J.</creatorcontrib><creatorcontrib>Berry, Michael V.</creatorcontrib><creatorcontrib>Sohn, Roger S.</creatorcontrib><title>The surgical treatment of osteochondritis of the capitellum</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>This paper reviews 14 patients who underwent elbow arthrotomy for osteochondritis of the capitellum. The etiology in 7 of
the 14 cases appears to be the result of repeated trauma from throwing sports. Five of the 14 described a singular significant
traumatic episode, and in 2 of the 14, a clear etiology is uncertain. The diagnostic features including signs, symptoms, and
el bow range of motion are examined. The operative findings are correlated with plain x-ray films of the elbow in all cases
and with an elbow arthrogram in 11 out of 14 cases. The average length of followup was 24 months. The postoperative range
of motion was in creased an average of 18°. Eighty-six percent (12 out of 14) patients returned to organized, competitive
ath letic activity without restrictions.
The Little League background of those patients with apparent repetitive microtrauma to the elbow is exam ined in terms of
length of pitching experience and types of pitches thrown. In addition, the throwing mechanism of these patients is evaluated
with respect to the type of delivery at possible risk for the development of osteochondritis.
We conclude that after a failure of conservative ther apy, surgical treatment, including removal of the intraar ticular loose
bodies, excision of capitellar lesions, and curettage to bleeding bone can be expected to produce pain relief and improvement
in joint motion. A return to organized competitive sport activities can be expected.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Athletic Injuries - diagnostic imaging</subject><subject>Athletic Injuries - surgery</subject><subject>Elbow - diagnostic imaging</subject><subject>Elbow - physiology</subject><subject>Elbow - surgery</subject><subject>Humans</subject><subject>Joint Loose Bodies - diagnostic imaging</subject><subject>Joint Loose Bodies - etiology</subject><subject>Joint Loose Bodies - surgery</subject><subject>Male</subject><subject>Methods</subject><subject>Movement</subject><subject>Osteochondritis - diagnostic imaging</subject><subject>Osteochondritis - surgery</subject><subject>Postoperative Care</subject><subject>Radiography</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1LAzEQhoMotVb_gCDsQbytzSSbbBZPUvyCgpd6Dmk2aVP2oyZZxH9vSosXwcJAYOZ5XybvIHQN-B6gLKeYcsoKzgTDQDEGTE_QGBgjOaWcnaLxDsh3xDm6CGGDE1NyMUIjWpU81Rg9LNYmC4NfOa2aLHqjYmu6mPU260M0vV73Xe1ddGHXignWauuiaZqhvURnVjXBXB3eCfp4flrMXvP5-8vb7HGe66JiMWdaEEu0qrWwBSZALRhla2NrxVXFqahBgAYsympZG2HV0jDQrLSEc8KqJZ2gu73v1vefgwlRti7otILqTD8EWXJMivTjoyDBmBdQkaMgiBQqkCqBZA9q34fgjZVb71rlvyVgubuB_HuDJLo5uA_L1tS_kkPoaT7dz4NaGbnpB9-l-P53vN0r1m61_nLeyNCqpkn-VKpNACohaekPZ7ObGQ</recordid><startdate>19850101</startdate><enddate>19850101</enddate><creator>Mcmanama, George B.</creator><creator>Micheli, Lyle J.</creator><creator>Berry, Michael V.</creator><creator>Sohn, Roger S.</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>19850101</creationdate><title>The surgical treatment of osteochondritis of the capitellum</title><author>Mcmanama, George B. ; Micheli, Lyle J. ; Berry, Michael V. ; Sohn, Roger S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-5c82f2cadc8f40213f1eafdefda6a9638d181c10879bde8fabe51c57f266259b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Athletic Injuries - diagnostic imaging</topic><topic>Athletic Injuries - surgery</topic><topic>Elbow - diagnostic imaging</topic><topic>Elbow - physiology</topic><topic>Elbow - surgery</topic><topic>Humans</topic><topic>Joint Loose Bodies - diagnostic imaging</topic><topic>Joint Loose Bodies - etiology</topic><topic>Joint Loose Bodies - surgery</topic><topic>Male</topic><topic>Methods</topic><topic>Movement</topic><topic>Osteochondritis - diagnostic imaging</topic><topic>Osteochondritis - surgery</topic><topic>Postoperative Care</topic><topic>Radiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mcmanama, George B.</creatorcontrib><creatorcontrib>Micheli, Lyle J.</creatorcontrib><creatorcontrib>Berry, Michael V.</creatorcontrib><creatorcontrib>Sohn, Roger S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mcmanama, George B.</au><au>Micheli, Lyle J.</au><au>Berry, Michael V.</au><au>Sohn, Roger S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The surgical treatment of osteochondritis of the capitellum</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>1985-01-01</date><risdate>1985</risdate><volume>13</volume><issue>1</issue><spage>11</spage><epage>21</epage><pages>11-21</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><abstract>This paper reviews 14 patients who underwent elbow arthrotomy for osteochondritis of the capitellum. The etiology in 7 of
the 14 cases appears to be the result of repeated trauma from throwing sports. Five of the 14 described a singular significant
traumatic episode, and in 2 of the 14, a clear etiology is uncertain. The diagnostic features including signs, symptoms, and
el bow range of motion are examined. The operative findings are correlated with plain x-ray films of the elbow in all cases
and with an elbow arthrogram in 11 out of 14 cases. The average length of followup was 24 months. The postoperative range
of motion was in creased an average of 18°. Eighty-six percent (12 out of 14) patients returned to organized, competitive
ath letic activity without restrictions.
The Little League background of those patients with apparent repetitive microtrauma to the elbow is exam ined in terms of
length of pitching experience and types of pitches thrown. In addition, the throwing mechanism of these patients is evaluated
with respect to the type of delivery at possible risk for the development of osteochondritis.
We conclude that after a failure of conservative ther apy, surgical treatment, including removal of the intraar ticular loose
bodies, excision of capitellar lesions, and curettage to bleeding bone can be expected to produce pain relief and improvement
in joint motion. A return to organized competitive sport activities can be expected.</abstract><cop>United States</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>3976976</pmid><doi>10.1177/036354658501300103</doi><tpages>11</tpages></addata></record> |
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| identifier | ISSN: 0363-5465 |
| ispartof | The American journal of sports medicine, 1985-01, Vol.13 (1), p.11-21 |
| issn | 0363-5465 1552-3365 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76024336 |
| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Adolescent Adult Athletic Injuries - diagnostic imaging Athletic Injuries - surgery Elbow - diagnostic imaging Elbow - physiology Elbow - surgery Humans Joint Loose Bodies - diagnostic imaging Joint Loose Bodies - etiology Joint Loose Bodies - surgery Male Methods Movement Osteochondritis - diagnostic imaging Osteochondritis - surgery Postoperative Care Radiography |
| title | The surgical treatment of osteochondritis of the capitellum |
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