ICL 205: Elbow Arthritis in the Young Athlete-Osteochondritis Dissecans in Young Athletes

Video Transcription

Video Summary

The speaker discusses osteochondritis dissecans (OCD) and Panner’s disease affecting the radiocapitellar joint, particularly in young athletes like gymnasts and baseball pitchers who experience repetitive valgus stresses. Panner’s disease occurs in children under 10, is self-limiting, and linked to vascular supply issues, while OCD involves immature bone degeneration, often linked with overuse and skeletal maturity. Diagnosis involves imaging and physical tests; Panner’s shows flattening of the capitellum and improves with rest, whereas OCD lesions can be stable or unstable, guiding treatment options from rest and bracing to surgical interventions like drilling or osteochondral autografts. Surgical outcomes vary by lesion stability and location, with about 80% return-to-sport rates. The prognosis for gymnasts is more guarded due to joint loading. Overall, early detection, non-operative management for stable lesions, and proper surgical strategies for unstable lesions are key to optimal recovery.

Asset Caption

Presented by Guillem Gonzalez-Lomas, MD

Keywords

osteochondritis dissecans

Panner’s disease

radiocapitellar joint

young athletes

surgical treatment