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Treatment of osteochondritis dissecans lesions reliable, offers good outcomes in adolescent athletes
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Findings published recently in the Journal of Shoulder and Elbow Surgery showed treatment of large, unstable osteochondritis dissecans lesions of the capitellum allowed reliable return to play, was safe and had good clinical outcomes at short-term follow-up in adolescent athletes.
Researchers identified 11 teenaged patients with large capitellar osteochondritis dissecans treated with osteochondral autograft plug transfer. Outcome measures included return to play, preoperative and postoperative elbow range of motion, DASH obtained by telephone interview and osseous integration on radiographs. Evaluation of all patients occurred at an average 22.7 months postoperatively.
Bobby Chhabra
All of the patients were involved in competitive high school athletics and were able to return to at least their preinjury level of play at an average rate of 4.4 months. The researchers found an average final DASH of 1.4 and an average final sport-specific DASH of 1.7. Additionally, results showed significant improvement in elbow range of motion. This included flexion, which improved from an average 126° preoperatively to an average 141° postoperatively, as well as improvement in extension, which improved from an average of 21° preoperatively to an average 5° postoperatively. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.
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