n International SportMed Journal - Osteochondritis dissecans in adolescence

Volume 2, Issue 5
  • ISSN : 1528-3356



Osteochondritis dissecans involves the adolescent radiocapitellar joint and is caused by chronic, compressive forces on the capitellum, ultimately causing injuries ranging from articular cartilage injury to osteochondral avulsion fracture. Plain films are often negative; computer tomography, magnetic resonance (MR) imaging, and MR arthrography are the examinations of choice. Osteochondritis dissecans should not be confused with a pseudodefect of the capitellum or Panner's disease. Staging of the lesion is important for its management, which is conservative for stages 1 and 2, whereas surgery is indicated for stages 3 and 4. Osteoarthritis is a late complication in 50% of patients with advanced disease.

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