Arthroscopic Treatment of Capitellum Osteochondritis Dissecans With Micronized Allogeneic Cartilage Scaffold  Paul E. Caldwell, M.D., Brett Auerbach,

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Presentation transcript:

Arthroscopic Treatment of Capitellum Osteochondritis Dissecans With Micronized Allogeneic Cartilage Scaffold  Paul E. Caldwell, M.D., Brett Auerbach, D.O., D.P.T., Sara E. Pearson, Ph.D.  Arthroscopy Techniques  Volume 6, Issue 3, Pages e815-e820 (June 2017) DOI: 10.1016/j.eats.2017.04.007 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Coronal view of the anterior compartment of the right elbow in the flexed position showing arthroscopic medial and lateral portals for arthroscopic treatment of loose bodies associated with an unstable osteochondritis dissecans lesion of the capitellum. The enlarged coronal inset shows retrieval of the loose bodies with an arthroscopic grasper. (Reproduced with permission from the illustrator. ©2017 Robert Edwards, M.S., C.M.I.) Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic view from the medial portal of the anterior compartment of the right elbow in the lateral decubitus position with a 30° arthroscope visualizing retrieval of a loose body (arrow) with an arthroscopic grasper. Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic view from the distal posterior-lateral portal of the posterior compartment of the right elbow in the lateral decubitus position with a 30° arthroscope visualizing arthroscopic probing of an unstable osteochondritis dissecans lesion (arrow) of the capitellum. Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Coronal view of the posterior compartment of the right elbow in the flexed position showing arthroscopic proximal and distal posterior-lateral portals for arthroscopic probing (left) and shaving (right) of an unstable osteochondritis dissecans (OCD) lesion of the capitellum. (Reproduced with permission from the illustrator. ©2017 Robert Edwards, M.S., C.M.I.) Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic view from the distal posterior-lateral portal of the posterior compartment of the right elbow in the lateral decubitus position with a 30° arthroscope visualizing removal of unstable cartilage (arrow) from an unstable osteochondritis dissecans lesion of the capitellum with an arthroscopic open curette. Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Coronal view of the posterior compartment of the right elbow in the flexed position showing an osteochondritis dissecans lesion of the capitellum after the unstable cartilage has been removed. The enlarged inset shows arthroscopic microfracture of the osteochondritis dissecans lesion of the capitellum with a K-wire through a distal posterior-lateral portal. (Reproduced with permission from the illustrator. ©2017 Robert Edwards, M.S., C.M.I.) Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 7 Arthroscopic view from the distal posterior-lateral portal of the posterior compartment of the right elbow in the lateral decubitus position with a 30° arthroscope visualizing microfracture of an osteochondritis dissecans lesion of the capitellum with a K-wire (arrow). Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 8 Arthroscopic view from the distal posterior-lateral portal of the posterior compartment of the right elbow in the lateral decubitus position with a 30° arthroscope visualizing smoothing of the BioCartilage over the osteochondritis dissecans lesion of the capitellum with a paddle. Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 9 Coronal view of the posterior compartment of the right elbow in the flexed position showing an osteochondritis dissecans lesion of the capitellum after microfracture and application of the BioCartilage (left) and fibrin glue (right). (Reproduced with permission from the illustrator. ©2017 Robert Edwards, M.S., C.M.I.) Arthroscopy Techniques 2017 6, e815-e820DOI: (10.1016/j.eats.2017.04.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions