Osteochondritis dissecans of the elbow

Changed by Tim Luijkx, 5 Jun 2016

Updates to Article Attributes

Body was changed:

Elbow involvement in osteochondritis dissecans is rare. It is defined as a localised fragmentation of bone overlying the capitellum cartilage. For a general discussion of osteochonritisosteochondritis dissecans refer to the parent article - osteochondritis dissecans.

Epidemiology

Most commonly seen in young baseball pitchers.

Pathology

Occurs due to repetetiverepetitive compression type of injury leading to vascular insufficiency and microtrauma. Typically affects the capitellum of dominant hand.

Clinical presentation

Features may include

  • pain along the lateral elbow
  • swelling
  • laxity of medial collateral ligament

Radiographic features

Plain radiography
  • non specific findings
  • mostly normal
  • may show irregularities and fragmentation of capitellum
CT and MRI

Helpful in determining the stability of the lesion .:

  • CT arthrogram is more useful
  • early changes are detectable on T1 weighted images and normal on T2 images
  • advanced changes are depictable in both T1 and T2 images.
  • -<p><strong>Elbow involvement in osteochondritis dissecans</strong> is rare. It is defined as a localised fragmentation of bone overlying the capitellum cartilage. For a general discussion of osteochonritis dissecans refer to the parent article - <a href="/articles/osteochondritis-dissecans">osteochondritis dissecans</a>.</p><h4>Epidemiology</h4><p>Most commonly seen in young baseball pitchers.</p><h4>Pathology</h4><p>Occurs due to repetetive compression type of injury leading to vascular insufficiency and microtrauma. Typically affects the capitellum of dominant hand.</p><h4>Clinical presentation</h4><p>Features may include</p><ul>
  • +<p><strong>Elbow involvement in osteochondritis dissecans</strong> is rare. It is defined as a localised fragmentation of bone overlying the capitellum cartilage. For a general discussion of osteochondritis dissecans refer to the parent article - <a href="/articles/osteochondritis-dissecans">osteochondritis dissecans</a>.</p><h4>Epidemiology</h4><p>Most commonly seen in young baseball pitchers.</p><h4>Pathology</h4><p>Occurs due to repetitive compression type of injury leading to vascular insufficiency and microtrauma. Typically affects the capitellum of dominant hand.</p><h4>Clinical presentation</h4><p>Features may include</p><ul>
  • -</ul><h5>CT and MRI</h5><p>Helpful in determining the stability of the lesion .</p><ul>
  • +</ul><h5>CT and MRI</h5><p>Helpful in determining the stability of the lesion:</p><ul>
  • -<li>advanced changes are depictable in both T1 and T2 images.</li>
  • +<li>advanced changes are depictable in both T1 and T2 images</li>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.