Osteochondritis Dissecans of the Capitellum: Minimum 1-Year Follow-Up After Arthroscopic Debridement

Bradley SCHOCH; Brian R WOLF

doi:10.1016/j.arthro.2010.03.008

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Osteochondritis Dissecans of the Capitellum: Minimum 1-Year Follow-Up After Arthroscopic Debridement

Journal article

Peer reviewed

Osteochondritis Dissecans of the Capitellum: Minimum 1-Year Follow-Up After Arthroscopic Debridement

Bradley SCHOCH and Brian R WOLF

Arthroscopy, Vol.26(11), pp.1469-1473

2010

DOI: 10.1016/j.arthro.2010.03.008

PMID: 20888168

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Abstract

Purpose: The purpose of our study is to show that arthroscopic debridement is an appropriate intervention for midterm to long-term subjective symptom relief of osteochondritis dissecans (OCD) of the elbow. Methods: A retrospective case series of 13 patients undergoing arthroscopic treatment of OCD of the elbow over a 10-year period was studied. Patients were assessed with a mean follow-up of 3.6 years (range, 12 months to 8 years). The disability/symptom section of the Disabilities of the Arm, Shoulder and Hand (DASH) was used to measure patient-reported outcome. Additional questions were used to assess other injuries to the elbow and return to sports activities. Results: Of 13 patients, 8 reported participating in repetitive valgus stress sports associated with overhead throwing. Two participated in gymnastics. Ten patients provided follow-up data greater than 1 year after surgical intervention. The mean follow-up DASH score for surgically treated patients was 8.6 (range, 0.0 to 22.41). Four patients reported a complete return to their sports activities, and six reported complete cessation of at least 1 sport. By use of intraoperative reports, the OCD lesions were graded according to the Classification System for OCD Lesions established by the American Sports Medicine Institute. No difference in mean DASH score between grades was found. Conclusions: In our small group of patients, arthroscopic debridement of OCD of the capitellum resulted in a functional elbow with subjective symptom relief for the majority of patients, as evidenced by DASH scores. However, despite a functional outcome, many patients reported ceasing at least some sporting activities because of their elbow. Level of evidence: Level IV, therapeutic case series.

Endoscopy

Investigative techniques, diagnostic techniques (general aspects)

Arthroscopy

Orthopedic surgery

Diseases of the osteoarticular system

Biological and medical sciences

Vascular bone diseases

Medical sciences

Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases

Details

Title: Subtitle: Osteochondritis Dissecans of the Capitellum: Minimum 1-Year Follow-Up After Arthroscopic Debridement
Creators: Bradley SCHOCH - Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Brian R WOLF - Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Resource Type: Journal article
Publication Details: Arthroscopy, Vol.26(11), pp.1469-1473
DOI: 10.1016/j.arthro.2010.03.008
PMID: 20888168
NLM abbreviation: Arthroscopy
ISSN: 0749-8063
eISSN: 1526-3231
Publisher: Elsevier; New York, NY
Language: English
Date published: 2010
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984040215902771

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