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Volume 2, Issue 2, Pages 126-128 (July 2018) Osteochondritis dissecans of the capitellum secondary to fishtail deformity treated with osteochondral autograft Takashi Yamaga, MD, Emiko Horii, MD, Shukuki Koh, MD, Hirotaka Sugiura, MD JSES Open Access Volume 2, Issue 2, Pages 126-128 (July 2018) DOI: 10.1016/j.jses.2018.02.005 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 Patient 1, an 11-year-old boy. (A) An anteroposterior x-ray image of the right elbow showed Gartland type III supracondylar fracture at age 7. (B) A postoperative x-ray image showed that the fracture was fixed by 2 Kirschner wires. (C) An anteroposterior x-ray image at age 11 showed fragmentation of the trochlear apophysis and a concave-shaped humeral capitellum. The distal end of the humerus showed fishtail deformity. (D) A T2-weighted magnetic resonance image showed the low signal area at the humeral capitellum and a focal osteochondral defect. At 1 year and 5 months postoperatively, (E) an anteroposterior x-ray image showed ossification of trochlear was completed, the joint surface had become smooth and concave, and the radial head was slightly hypertrophic, and (F) a lateral x-ray showed that deformity of humeral capitellum remained. JSES Open Access 2018 2, 126-128DOI: (10.1016/j.jses.2018.02.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 Patient 2, an 11-year-old boy. (A) An anteroposterior x-ray image at age 11 showed fishtail deformity of the distal humerus and hypertrophic radial head. (B) A T2-weighted magnetic resonance image showed low signal area at the humeral capitellum and a focal osteochondral defect. (C) Arthroscopic view. Despite the deformity on the x-ray image, the trochlea (T) showed a smooth joint surface. The cartilage defect and fibrillation at the humeral capitellum (Ca) was observed in arthroscopic examination. RH, radial head; ☆, coronoid process. At 1 year postoperatively, (D) an anteroposterior x -ray image showed the deformity at humeral capitellum remained, and (E) slight anterior subluxation of the radial head was observed on the lateral x-ray image. JSES Open Access 2018 2, 126-128DOI: (10.1016/j.jses.2018.02.005) Copyright © 2018 The Author(s) Terms and Conditions