Loose Bodies and Osteochondritis of the Elbow John F. Meyers, M.D. Richmond, Virginia John F. Meyers, M.D. Richmond, Virginia.

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Presentation transcript:

Loose Bodies and Osteochondritis of the Elbow John F. Meyers, M.D. Richmond, Virginia John F. Meyers, M.D. Richmond, Virginia

Etiology Trauma Synovial Chondromatosis Trauma Synovial Chondromatosis

Etiology Degenerative Arthritis Osteochondritis Dissecans Degenerative Arthritis Osteochondritis Dissecans

Equipment

Systematic Exam Anterior Posterior Soft Spot Anterior Posterior Soft Spot

Osteochondritis Dissecans of the Capitellum

OCD Age 13 – 18 Affects Anterior Lateral Capitellum Often Results in Loose Bodies Age 13 – 18 Affects Anterior Lateral Capitellum Often Results in Loose Bodies

OCD Repetative Microtrauma Blood Supply at Risk Repetative Microtrauma Blood Supply at Risk

Panners Disease Occurs in Children Under 10 Affects Entire Capitellum Occurs in Children Under 10 Affects Entire Capitellum

Panners Disease Heals With Conservative Care Does Not Progress to Loose Bodies Heals With Conservative Care Does Not Progress to Loose Bodies

Surgical Treatment Remove Loose Bodies Remove Soft Articular Cartilage and Bone Curette or Drill Base Don’t Repair Remove Loose Bodies Remove Soft Articular Cartilage and Bone Curette or Drill Base Don’t Repair

Results McManama –86% Success in Athletes Jackson –0% Success in Gymnasts McManama –86% Success in Athletes Jackson –0% Success in Gymnasts