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Arthroscopic Repair of Elbow OCD Lesions

  • Jonathan Robinson
  • Todd A. Rubin
  • Michael HausmanEmail author
Chapter

Abstract

Osteochondritis dissecans can be a disabling condition with long-term sequelae. Available data suggests that preservation of the normal anatomy is associated with improved outcomes, provided that the fragments heal. While screws or pegs may be usable with large fragments, most lesions include little subchondral bone and are difficult to fix with such devices. Use of an arthroscopically guided fixation technique with mattress sutures and autogenous iliac crest bone graft may extend the capacity to fix and obtain healing of thinner and smaller OCD lesions.

References

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    Baumgarten TE. Osteochondritis dissecans of the capitellum. Sports Med Arthrosc Rev. 1995;3(3):219–23.CrossRefGoogle Scholar
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    Takahara M, Mura N, Sasaki J, Harada M, Ogino T. Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum. J Bone Joint Surg Am. 2007;89(6):1205–14.CrossRefGoogle Scholar
  3. 3.
    Koehler SM, Walsh A, Lovy AJ, Pruzansky JS, Shukla DR, Hausman MR. Outcomes of arthroscopic treatment of osteochondritis dissecans of the capitellum and description of the technique. J Shoulder Elb Surg. 2015;24(10):1607–12.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Jonathan Robinson
    • 1
  • Todd A. Rubin
    • 2
  • Michael Hausman
    • 3
    Email author
  1. 1.Department of Orthopaedic SurgeryWashington University in St. LouisSt. LouisUSA
  2. 2.Hand and Upper Extremity Surgery, Hughston Clinic OrthopaedicsNashvilleUSA
  3. 3.The Mount Sinai HospitalNew YorkUSA

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