Orthopedics Book

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Elbow Osteochondritis Dissecans

Aka: Elbow Osteochondritis Dissecans
  1. See Also
    1. Osteochondritis Dissecans
    2. Knee Osteochondritis Dissecans
    3. Osteochondritis Dissecans of Talus
    4. Pseudomonas Osteochondritis
  2. Epidemiology
    1. Adolescent males most commonly affected at elbow
  3. Mechanism
    1. See Osteochondritis Dissecans
  4. Risk Factors
    1. Repetitive overhead throwing, valgus stress or compression at elbow (e.g. gymnastics)
  5. Etiology
    1. Traumatic origin
  6. Symptoms
    1. Dull, persistent aching pain at elbow
    2. Radial aspect is most commonly injured (typically presenting with lateral Elbow Pain)
    3. Gradual onset
    4. Associated with stiffness
    5. Occasional locking or catching sensation (if loose body present from detached cartilage)
  7. Signs
    1. Limited Elbow Range of Motion (unable to fully extend elbow)
    2. Local tenderness
    3. Joint effusion
  8. Radiology: Elbow XRay
    1. Capitellum affected most commonly
  9. Management
    1. Rest with or without Sling
    2. No throwing activities
    3. Surgery to remove loose bodies
  10. Prognosis
    1. Good, but may have some residual elbow stiffness
  11. References
    1. Kane (2014) Am Fam Physician 89(8): 649-57 [PubMed]

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