Loose Bodies and Osteochondritis of the Elbow

Loose Bodies and Osteochondritis of the Elbow

John F. Meyers, M.D.

Richmond, Virginia

John F. Meyers, M.D.

Richmond, Virginia

EtiologyEtiology

• Trauma

• Synovial Chondromatosis

• Trauma

• Synovial Chondromatosis

EtiologyEtiology

• Degenerative Arthritis

• Osteochondritis Dissecans

• Degenerative Arthritis

• Osteochondritis Dissecans

EquipmentEquipment

Systematic ExamSystematic Exam

• Anterior

• Posterior

• Soft Spot

• Anterior

• Posterior

• Soft Spot

Osteochondritis Dissecans of the Capitellum

Osteochondritis Dissecans of the Capitellum

OCDOCD

• Age 13 – 18

• Affects Anterior Lateral Capitellum

• Often Results in Loose Bodies

• Age 13 – 18

• Affects Anterior Lateral Capitellum

• Often Results in Loose Bodies

OCDOCD

• Repetative Microtrauma

• Blood Supply at Risk

• Repetative Microtrauma

• Blood Supply at Risk

Panners DiseasePanners Disease

• Occurs in Children Under 10

• Affects Entire Capitellum

• Occurs in Children Under 10

• Affects Entire Capitellum

Panners DiseasePanners Disease

• Heals With Conservative Care

• Does Not Progress to Loose Bodies

• Heals With Conservative Care

• Does Not Progress to Loose Bodies

Surgical TreatmentSurgical Treatment

• Remove Loose Bodies

• Remove Soft Articular Cartilage and Bone

• Curette or Drill Base

• Don’t Repair

• Remove Loose Bodies

• Remove Soft Articular Cartilage and Bone

• Curette or Drill Base

• Don’t Repair

ResultsResults

• McManama–86% Success in Athletes

• Jackson–0% Success in Gymnasts

• McManama–86% Success in Athletes

• Jackson–0% Success in Gymnasts