Osteochondritis of Trochlear Epiphysis: An Interesting Case Report with Literature Search
Volume 5 | Issue 1 | Jan-Apr 2019 | Page: 28 | Suresh Annamalai.
Authors : Suresh K M Annamalai [1]
1 Department of Trauma and Orthopaedics Manipal Hospital, Whitefield , Bangalore.
Address of Correspondence
Dr. Suresh K M Annamalai,
13, 6th D Cross, Poojappa Street Kagadassapura, C V Raman Nagar, Bangalore 560093
Email: drsureshkumar.ortho@gmail.com
Abstract
Osteochondritis(OCD) around the elbow are uncommon cause of elbow pain in children and adolescent, which occurs around different location of the elbow joint. OCD is an idiopathic condition affecting articular epiphysis and can affect any epiphyseal region in the body. Majority of these can be treated with non-operative intervention, but other serious life or limb threatening musculoskeletal conditions (Tumours and Infection) should be ruled out before labelling OCD. Here we describe and interesting case report with relevant literature search for the same.
References
1. Ovesen J, Olsen BS, Johannsen HV. The clinical outcomes of mosaicplasty in the treatment of osteochondritis dissecans of the distal humeral capitellum of young athletes. J Shoulder Elbow Surg 2011;20:813-8.
2. Yonetani Y, Tanaka Y, Shiozaki Y, Kanamoto T, Kusano M, Tsujii A, et al. Transarticular drilling for stable juvenile osteochondritis dissecans of the medial femoral condyle. Knee Surg Sports Traumatol Arthrosc 2012;20:1528-32.
3. Horiuchi T, Omokawa S, Fujitani S, et al. Bilateral osteochondritis dissecans involving the trochlea of the humerus: A case report. J Jpn Elbow Soc 2010;17:1014.
4. Marshall KW, Marshall DL, Busch MT, Williams JP. Osteochondral lesions of the humeral trochlea in the young athlete. Skeletal Radiol 2009;38:479-91.
5. Patel N, Weiner SD. Osteochondritis dissecans involving the trochlea: Report of two patients (three elbows) and review of the literature. J Pediatr Orthop 2002;22:48-51.
6. Jans LB, Ditchfield M, Anna G, Jaremko JL, Verstraete KL. MR imaging findings and MR criteria for instability in osteochondritis dissecans of the elbow in children. Eur J Radiol 2012;81:1306-10.
7. Cain EL Jr, Dugas JR, Wolf RS, Andrews JR. Elbow injuries in throwing athletes: A current concepts review. Am J Sports Med 2003;31:621-35.
8. Takahara M, Ogino T, Sasaki I, Kato H, Minami A, Kaneda K. Long term outcome of osteochondritis dissecans of the humeral capitellum. Clin Orthop Relat Res 1999;363:108-15.
9. Clarke NM, Blakemore ME, Thompson AG. Osteochondritis of the trochlear epiphysis. J Pediatr Orthop 1983;3:601-4.
10. Pruthi S, Parnell SE, Thapa MM. Pseudointercondylar notch sign: Manifestation of osteochondritis dissecans of the trochlea. Pediatr Radiol 2009;39:180-3.
11. Miyake J, Kataoka T, Murase T, Yoshikawa H. In-vivo biomechanical analysis of osteochondritis dissecans of the humeral trochlea: A case report. J Pediatr Orthop B 2013;22:392-6
| How to Cite this Article: Annamalai S. Osteochondritis of Trochlear Epiphysis: An Interesting Case Report with Literature Search. International Journal of Paediatric Orthopaedics Jan-June 2019;5(1): 28. |
