2021 AANA/ASES Specialty Session-Capitellar OCD: My Tips for Success With Retrograde Drilling & Cartilage Repair

Capitellar OCD: My Tips for Success With Retrograde Drilling & Cartilage Repair

Video Transcription

Video Summary

Paul Caldwell discusses Capitellar Osteochondritis Dissecans (OCD), emphasizing its complexity despite 130 years of study. Predominantly affecting young baseball players, OCD involves subchondral bone injury from repetitive trauma and biomechanical stress. Diagnosis relies on ultrasound screening, X-rays, MRI (94% accuracy), and arthroscopy. Treatment decisions consider growth plate status, lesion size, location, and stability. Non-operative management works better with open growth plates and smaller lesions. Surgical options include arthroscopic loose body removal, microfracture, drilling, and fixation techniques. Caldwell showcases various arthroscopic and open procedures, stressing the need for multiple approaches. Early detection and tailored treatment are key for optimal outcomes.

Asset Caption

Paul E. Caldwell, M.D.

Keywords

Capitellar Osteochondritis Dissecans

young baseball players

diagnosis techniques

treatment options

early detection