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

2. Etiology Trauma Synovial Chondromatosis Trauma Synovial Chondromatosis

3. Etiology Degenerative Arthritis Osteochondritis Dissecans Degenerative Arthritis Osteochondritis Dissecans

4. Equipment

6. Systematic Exam Anterior Posterior Soft Spot Anterior Posterior Soft Spot

10. Osteochondritis Dissecans of the Capitellum

12. 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

13. OCD Repetative Microtrauma Blood Supply at Risk Repetative Microtrauma Blood Supply at Risk

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

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

16. 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

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