Closed-Wedge osteotomy for osteochondritis dissecans of the capitellum. A 7- to 12-year follow-up.
This article details a 7- to 12-year follow-up of seven young male baseball players with osteochondritis dissecans of the capitellum that we treated using closed-wedge osteotomy. This procedure was established by Yoshizu in 1986 for the treatment of "Little League elbow." The bone of the capitellum was revascularized and remodeled within 6 months in all seven patients. Six of the patients were able to return to full athletic activity and continued to play baseball. Radiographic assessment during the follow-up study revealed minimal osteoarthritic change and suggests that the treatment is useful for such an injury.
Department of Orthopaedic Surgery, Saiseikai Yamagata Hospital, Japan.
Y
Y
Kiyoshige
M
M
Takagi
K
K
Yuasa
M
M
Hamasaki
D000293:Adolescent; D016723:Bone Remodeling; D002648:Child; D004550:Elbow / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010008:Osteochondritis Dissecans / Q000473:pathology / Q000601:surgery*; D010027:Osteotomy; D016896:Treatment Outcome; D000092464:Elbow Injuries