Arthroscopic treatment is an option for pediatric elbow osteochondritis dissecans

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Source:

Jack RA, et al. Return to play rates after arthroscopic treatment of elbow OCD in adolescent baseball players. Presented at: American Orthopedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting; July 7-11, 2021; Nashville, Tennessee.

disclosures:
Jack reports no relevant financial disclosures.

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NASHVILLE, Tenn. – Adolescent baseball players undergoing arthroscopic treatment for elbow osteochondritis dissecans have high returns to play and satisfaction and low scores from the Kerlan-Jobe Orthopedic Clinic, according to one presenter.

“Osteochondritis dissecans (OCD) of the capitellum is an idiopathic problem that affects the subchondral bone”, Robert A. Jack II, MD, an orthopedic surgeon at Houston Methodist Orthopedics and Sports Medicine, said during his presentation at the American Orthopedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting.

“The prevalence is believed to be somewhere between 1% and 3% in adolescent overhead athletes, and repetitive mechanical trauma and microtrauma, progressive vascular injury is thought to likely contribute to injury in this patient population,” he added.

Robert A. Jack

Jack and colleagues retrospectively analyzed data on 20 male baseball pitchers (mean age of 15.8 years) who underwent arthroscopic treatment for capitellum OCD from 2010 to 2018 with a follow-up of at least 2 years. Of the patients, 17 underwent debridement and marrow stimulation and three underwent debridement with loose body removal, according to Jack.

Overall, 80% of patients (n=16) responded with a mean follow-up of 5.7 years. Of these athletes, 81.3% (n=13) returned to sports within 5.2 months. Of the three athletes who stopped playing sports, all mentioned the elbow as the reason for ‘retirement’. In addition, Jack and colleagues found Kerlan-Jobe Orthopedic Clinic (KJOC) scores of 69.1 in the return to sports group, with KJOC scores of 64.6 overall. Overall patient satisfaction was 85.6%.

In conclusion, in adolescent baseball players after arthroscopic treatment for capitellary OCDs, there is an 81% return to sports at 5.2 months. [For] KJOC scores, but long-term satisfaction is high,” he said.

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American Orthopedic Society for Sports Medicine Annual Meeting

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