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Case Reports
. 2023 Oct 4;4(1):118-124.
doi: 10.1016/j.xrrt.2023.09.005. eCollection 2024 Feb.

Extra-articular core tunneling and local autogenous bone grafting for osteochondritis dissecans lesion of the capitellum with intact articular cartilage and subchondral bone deficiency

Jared Bukowski  1 , James Padley  2 , Steven Chudik  3   4
Affiliations
Case Reports

Extra-articular core tunneling and local autogenous bone grafting for osteochondritis dissecans lesion of the capitellum with intact articular cartilage and subchondral bone deficiency

Jared Bukowski et al. JSES Rev Rep Tech. .
No abstract available

Keywords: Capitellum; Extra-articular; Local autograft; Osteochondritis dissecans; Stable OCD.

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Figures

Figure 1
Figure 1
(A, B) Right elbow anteroposterior and lateral radiographs demonstrate a lucency of the capitellum ie, consistent with osteochondritis dissecans. A thin subchondral bone shell is visible.
Figure 2
Figure 2
(A, B) Right elbow preoperative MRI demonstrates an OCD lesion of the capitellum with possibly intact articular surface with suspicion for loss of subchondral bone. MRI, magnetic resonance imaging; OCD, osteochondritis dissecans.
Figure 3
Figure 3
Right elbow CT scan demonstrates a significant OCD of the capitellum with bony resorption and possibly a complete thin subchondral bone shell suggesting the potential of an intact articular cartilage surface. OCD, osteochondritis dissecans. CT, computed tomography.
Figure 4
Figure 4
Right elbow arthroscopic image demonstrates a surface cartilage tear and intact articular surface of both the capitellum with limited fraying of cartilage at perimeter of OCD lesion. OCD, osteochondritis dissecans.
Figure 5
Figure 5
(A, B) Right elbow intraoperative anterior to posterior and lateral fluoroscopic radiographs demonstrate the placement of guide pin from the posterior distal humerus to the center of the OCD lesion perpendicular to its articular surface. OCD, osteochondritis dissecans.
Figure 6
Figure 6
(A, B) Right elbow intraoperative fluoroscopic radiographs demonstrate extra-articular tunneling to the capitellar lesion, débridement, and bone grafting.
Figure 7
Figure 7
(A, B) Right elbow anteroposterior and lateral radiographs taken at 6 months postoperative which demonstrated healing of the osteochondral defect.
See this image and copyright information in PMC

References

    1. Ayzenberg M., Clippinger B., Slate E.L., Kozin S.H., Zlotolow D.A. Outcomes of osteochondral autograft transplantation in pediatric patients with osteochondritis dissecans of the capitellum. J Hand Surg Am. 2021;46:1028.e1–1028.e15. doi: 10.1016/j.jhsa.2021.02.024. - DOI - PubMed
    1. van Bergen C.J., van den Ende K.I., Ten Brinke B., Eygendaal D. Osteochondritis dissecans of the capitellum in adolescents. World J Orthop. 2016;7:102–108. doi: 10.1177/03635465990270060701. - DOI - PMC - PubMed
    1. Betz R.R., Lavelle W.F., Samdani A.F. Bone grafting options in children. Spine (Phila Pa 1976) 2010;35:1648–1654. doi: 10.1097/BRS.0b013e3181ce8f4b. - DOI - PubMed
    1. Clanton T.O., DeLee J.C. Osteochondritis dissecans. History, pathophysiology and current treatment concepts. Clin Orthop Relat Res. 1982;167:50–64. - PubMed
    1. van den Ende K.I.M., McIntosh A.L., Adams J.E., Steinmann S.P. Osteochondritis dissecans of the capitellum: a review of the literature and a distal ulnar portal. Arthroscopy. 2011;27:122–128. doi: 10.1016/j.arthro.2010.08.008. - DOI - PubMed

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