Study of outcome of conservative management in osteochondritis dissecans of trochlea
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Osteochondritis dissecans (OCD) of elbow has been known to be one of the causes of chronic pain in elbow region, targeted population being children and adolescents. Usual location was thought to be capitellum but rarely trochlea. Conservative and operative treatments have been studied and published. Aim of this study is to discuss outcome in conservatively managed 8 cases in our institution. Materials and Methods: Prospective analysis has been done in our study over 8 children of age in range between 11-17 who presented to our outpatient department between the years 2009 to 2016 with complaints of chronic elbow pain and no history of trauma. Nelsons classification for staging OCD appreciable on MRI is used. Results: There were 8 children with age varying from 11-17 years, 6 being boys and 2 girls. 5 cases had flexion contracture ranging from 5-10 degrees in the affected elbow. 2 cases (female) had hyperextension in the contra lateral un-affected elbow of 5 and 10 degrees respectively. After 3 months, 3 patients developed flexion contracture. 6 months later flexion contracture was seen in 2 patients. Motion pain of the joint disappeared and full range of movements were achieved at 6 months after first visit. Conclusion: In conclusion OCD of trochlea though an infrequent occurrence, is important differential diagnosis in chronic elbow pain. Reviewing the elbows both clinically and radiologically would lead to early diagnosis and effectiveness of conservative management.
Authors and Affiliations
Dr. Dilip Kumar Naidu, Dr. Vijay Anand, Dr. Sriram Thanigai
Keywords
Related Articles
- EP ID EP494555
- DOI 10.22271/ortho.2017.v3.i3a.07
- Views 119
- Downloads 0
Comparative study of Non-operative versus Operative treatment for middle 1/3rd clavicle fracture
Background: A fracture of the clavicle has been greatly underrated in respect to pain and disability. Clavicle is the bony link from thorax to shoulder girdle and contributes to movements at shoulder girdle. Clavicle fra...
Analysis of extra articular proximal third tibial fractures treated with interlocked intramedullary nailing
Background: Fractures of the proximal third of tibia shaft have historically higher malunion rates than those of the midshaft. These fractures have been notoriously difficult to treat. With the advent of deepened underst...
Giant cell tumor of patella: A rare presentation
The patella is a rare site of primary tumors. Tumors in the patella represent 0.12% of all bone tumors. Majority of tumors are benign [1]. The most frequent benign patellar tumor is giant cell tumor (GCT). Here, we prese...
Issues in management of fractures complicated by compartment syndrome
Introduction: Compartment syndrome has been identified as an acute devastating orthopaedic emergency and early fasciotomy is the only way to prevent any complications This retrospective study proposes to analyse the issu...
Study of cross pinning of metacarpal and proximal phalangeal fracture of the hand
Introduction: A majority of metacarpal and proximal phalynx fracture can be effectively managed with closed reduction and cast and buddy taping. However a group metacarpal and proximal phalynx fractures are unstable and...