Osteochondritis dissecans of the humeral capitellum in children.
We studied 13 cases of osteochondritis dissecans of capitellum humeri in 12 children, 11 boys and 1 girl, aged between 10 and 15 years. We distinguished this affection from Panner's disease which affects young children and resembles Legg-Perthes-Calvé disease of the hip. Operative treatment was performed in 7 out of 13 elbows for removal of loose bodies or excision of osteochondritis in situ with cartilage damage. In other cases, functional treatment was carried out. At long-term follow-up, ranging from 2 to 13 years, clinical examination demonstrated satisfactory results in 9 cases; in 3 cases limitation of movement was related to fracture of the radial head or to delay in operative treatment for too long. Roentgenographically, changes related to growth disturbance were constantly observed; they involved the radial head, the olecranon, the trochlea and the proximal end of the ulna.
Jawish
R
R
Service de Chirurgie Orthopédique et Traumatologique, Hôpital des Enfants Malades, Paris, France.
Rigault
P
P
Padovani
J P
JP
Touzet
P
P
Finidori
G
G
Chaumien
J P
JP
D000293:Adolescent; D001175:Arthrography; D002648:Child; D004551:Elbow Joint / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000175:diagnosis / Q000601:surgery; D006811:Humerus / Q000473:pathology / Q000601:surgery*; D007594:Joint Loose Bodies / Q000175:diagnosis / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D010008:Osteochondritis Dissecans / Q000175:diagnosis / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D013716:Tennis Elbow / Q000175:diagnosis / Q000601:surgery; D000092464:Elbow Injuries