PMID: 9170360May 1, 1997Paper

Osteochondritis dissecans as a cause of developmental dislocation of the radial head

Clinical Orthopaedics and Related Research
J KlekampG A Mencio

Abstract

Osteochondritis dissecans of the capitellum produces an area of focal necrosis that may result in a potentially unstable relationship between the capitellum and the radial head. Seven patients with developmental instability of the radial head secondary to osteochondritis dissecans of the capitellum treated between 1984 and 1995 were studied. All patients were male with an average age of 13 years. The most common symptom was pain with a decrease in range of motion. Patients lacked an average of 24.3 degrees extension. Initial plain radiographs were most helpful for evaluating the relationship of the radial head to the capitellum, and tomography or magnetic resonance imaging were helpful for the detection of loose bodies. The most common direction for instability was posterolateral. Treatment varied from conservative management with nonsteroidal antiinflammatory medication to open reduction and internal fixation of an osteochondral fragment. The average followup was 3.2 years. At latest followup, 11 patients were pain free; however, they lacked an average of 17 degrees extension. Only 2 patients progressed to complete dislocation of the radial head. Developmental instability of the radial head may occur secondary to osteochondrit...Continue Reading

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Citations

May 23, 2019·Cartilage·Juergen BrunsChristian R Habermann
Feb 8, 2000·Clinical Orthopaedics and Related Research·R Papandrea, P M Waters
Mar 25, 2016·AJR. American Journal of Roentgenology·Delma Y JarrettPaul K Kleinman
Oct 16, 1999·British Journal of Sports Medicine·S P FrostickD A Ritchie
Feb 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Gregory D Gramstad, Leesa M Galatz
Mar 4, 2008·The Journal of Bone and Joint Surgery. British Volume·C P Charalambous, J K Stanley
Sep 30, 2014·Journal of Pediatric Orthopedics·William P HennrikusDonald S Bae
Jul 18, 2002·Radiologic Clinics of North America·Carolyn M Sofka, Hollis G Potter
Aug 10, 2001·Clinics in Sports Medicine·J P Bradley, R S Petrie
Jan 12, 1999·The Orthopedic Clinics of North America·T T Miller
Jun 27, 2006·Clinics in Sports Medicine·Michael J Tuite, Richard Kijowski
Feb 27, 2008·Hand Clinics·Lisa L Lattanza, Greg Keese

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