AANA Elbow Arthroscopy - August 2024-Elbow Osteochondritis Dissecans

Video Transcription

Video Summary

Scott Steinman discusses elbow osteochondritis dissecans (OCD), highlighting a Japanese study finding a 2% incidence in young baseball players, often without symptoms. Early detection via ultrasound and MRI enables effective non-operative treatment, with 54% healing after about eight months. Surgical options include arthroscopic debridement, which shows good short-term results and fewer complications than osteochondral autograft transplantation, though autografts are effective for large lesions. Novel arthroscopic portals improve lesion access. Long-term outcomes emphasize early intervention and activity modification to prevent functional impairment. Overall, early diagnosis and tailored treatment yield the best results in managing elbow OCD.

Keywords

elbow osteochondritis dissecans

young baseball players

early detection

non-operative treatment

arthroscopic surgery