Zusammenfassung
Osteochondrale Läsionen (OCL) des Ellenbogengelenks sind im Vergleich zu anderen Gelenken selten und betreffen dann meistens den Bereich des Capitulum humeri (Ruchelsman et al. 2010, Vogt et al. 2011). Betroffen sind hiervon vor allem Jugendliche mit Aktivitäten in Wurf- und Überkopfsportarten. So wird die OCL des Ellenbogens in der Literatur insbesondere bei jungen Baseballspielern und daher vor allem in amerikanischen und japanischen Publikationen beschrieben (Mihara et al. 2010, 2009, Takeda et al. 2002, Yamamoto et al. 2006). Da in der Regel eine mikrotraumatische Genese dieser Erkrankung zugrunde liegt, ist es sinnvoll von osteochondralen Läsionen zu sprechen und nicht von der Osteochondrosis dissecans (OD), um Überschneidungen mit einer OD anderer Genese zu vermeiden.
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Ansah P, Vogt S, Ueblacker P, Martinek V, Woertler K, Imhoff AB (2007) chondral Transplantation to Treat Osteochondral Lesions in the Elbow. The Journal of Bone and Joint Surgery 89: 2188–2194
Bauer M, Jonsson K, Josefsson PO, Lindén B (1992) Osteochondritis dissecans of the elbow. A long-term follow-up study. Clin Orthop Relat Res : 156–160
Bradley JP, Petrie RS (2001) Osteochondritis dissecans of the humeral capitellum. Diagnosis and treatment. Clinics in Sports Medicine 20: 565–590
Brownlow HC, O’Connor-Read LM, Perko M (2006) Arthroscopic treatment of osteochondritis dissecans of the capitellum. Knee Surg Sports Traumatol Arthrosc 14: 198–202
Dipaola JD, Nelson DW, Colville MR (1991) Characterizing osteochondral lesions by magnetic resonance imaging. YJARS 7: 101–104
Duthie RB, Houghton GR (1981) Constitutional aspects of the osteochondroses. Clin Orthop Relat Res : 19–27
Ebert JR, Fallon M, Wood DJ, Janes GC. (2016) A prospective clinical and radiological evaluation at 5 years after arthroscopic matrix-induced autologous chondrocyte implantation. Am J Sports Med. 2016 Sep 1.
Edmonds EW, Polousky J (2012) A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group. Clin Orthop Relat Res
Kircher J (2016) Autologous chondrocyte implantation for post-traumatic cartilage defect of capitulum humeri. J Shoulder Elbow Surg. 2016 Jul;25(7)
Klingele KE, Kocher MS (2002) Little league elbow: valgus overload injury in the paediatric athlete. Sports Med 32: 1005–1015
Kobayashi K, Burton KJ, Rodner C, Smith B, Caputo AE (2004) Lateral compression injuries in the pediatric elbow: Panner’s disease and osteochondritis dissecans of the capitellum. J Am Acad Orthop Surg 12: 246–254
König F (1888) Über freie Körper in den Gelenken. Dtsch. Z Chir
Kusumi T, Ishibashi Y, Tsuda E, Kusumi A, Tanaka M, Sato F, Toh S, Kijima H (2006) Osteochondritis dissecans of the elbow: histopathological assessment of the articular cartilage and subchondral bone with emphasis on their damage and repair. Pathol. Int. 56: 604–612
Laurent LE, Lindstrom BL (1956) Osteochondrosis of the capitulum humeri: Panner’s disease. Acta Orthop Scand 26: 111–119
Mihara K, Tsutsui H, Nishinaka N, Yamaguchi K (2009) Nonoperative treatment for osteochondritis dissecans of the capitellum. Am J Sports Med 37: 298–304
Mihara K, Suzuki K, Makiuchi D, Nishinaka N, Yamaguchi K, Tsutsui H (2010) Surgical treatment for osteochondritis dissecans of the humeral capitellum. J Shoulder Elbow Surg 19: 31–37
Mitsunaga MM, Adishian DA, Bianco AJ (1982) Osteochondritis dissecans of the capitellum. J Trauma 22: 53–55
Nelson DW, DiPaola J, Colville M, Schmidgall J (1990) Osteochondritis dissecans of the talus and knee: prospective comparison of MR and arthroscopic classifications. J Comput Assist Tomogr 14: 804–808
Panner H (1927) An affection of the capitulum humeri resembling Calvé-Perthes’ Disease of the hip (1927) Acta Radiol 10: 234–242
Rahusen FTG, Brinkman J-M, Eygendaal D (2006) Results of arthroscopic debridement for osteochondritis dissecans of the elbow. Br J Sports Med 40: 966–969
Ruch DS, Cory JW, Poehling GG (1998) The arthroscopic management of osteochondritis dissecans of the adolescent elbow. YJARS 14: 797–803
Ruchelsman DE, Hall MP, Youm T (2010) Osteochondritis dissecans of the capitellum: current concepts. J Am Acad Orthop Surg 18: 557–567
Schenck RC, Athanasiou KA, Constantinides G, Gomez E (1994) A biomechanical analysis of articular cartilage of the human elbow and a potential relationship to osteochondritis dissecans. Clin Orthop Relat Res: 305–312
Schoch B, Wolf BR (2010) Osteochondritis dissecans of the capitellum: minimum 1-year follow-up after arthroscopic debridement. Arthroscopy 26: 1469–1473
Shimada K, Yoshida T, Nakata K, Hamada M, Akita S (2005) Reconstruction with an osteochondral autograft for advanced osteochondritis dissecans of the elbow. Clin Orthop Relat Res : 140–147
Smith MG (1964) Osteochrondritis of the humeral capitulum (1964) J Bone Joint Surg Br 46: 50–54
Takahara M, Ogino T, Fukushima S, Tsuchida H, Kaneda K (1999) Nonoperative treatment of osteochondritis dissecans of the humeral capitellum. The American Journal of Sports Medicine 27: 728–732
Takahara M, Mura N, Sasaki J, Harada M, Ogino T (2007) Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum. J Bone Joint Surg Am 89: 1205–1214
Takeda H, Watarai K, Matsushita T, Saito T, Terashima Y (2002) A surgical treatment for unstable osteochondritis dissecans lesions of the humeral capitellum in adolescent baseball players. The American Journal of Sports Medicine 30: 713–717
Vogt S, Siebenlist S, Hensler D, Weigelt L, Ansah P, Woertler K, Imhoff AB (2011) Osteochondral transplantation in the elbow leads to good clinical and radiologic long-term results: an 8- to 14-year follow-up examination. Am J Sports Med 39: 2619–2625
Yadao MA, Field LD, Savoie FH (2004) Osteochondritis dissecans of the elbow. Instr Course Lect 53: 599–606
Yamamoto Y, Ishibashi Y, Tsuda E, Sato H, Toh S (2006) Osteochondral autograft transplantation for osteochondritis dissecans of the elbow in juvenile baseball players: minimum 2-year follow-up. The American Journal of Sports Medicine 34: 714–720
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Vogt, S., Blanke, F. (2018). Arthroskopische Behandlungskonzepte der osteochondralen Läsion am Ellenbogen. In: Imhoff, A.B., Lenich, A. (eds) Arthroskopie und minimal-invasive Chirurgie des Ellenbogens. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56679-4_5
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